Shannon L Archer, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104771 Issued in TX

Practice address

5365 Hunters Creek TRL
Frisco, TX 75034-1713

Phone

(972) 505-8335

NPI assigned

Jan 2, 2012

Last updated

Jan 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

Enrollment records 2

Specialty

Qualified Speech Language Pathologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Expressable Speech-Language Pathology, P.C.

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1649875857

  CA

  Medicare reassignment
• A Gift of Speech

  • Speech-Language Pathologist
  • Frisco, TX
  • NPI 1790048742
  NPD (past) Authorized official
• Therapy for Success, Inc

  • Home Health Agency
  • Frisco, TX
  • NPI 1679851869
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1437429958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 MARBLE FALLS DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347782",
            "telephone_number": "972-977-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5365 HUNTERS CREEK TRL",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341713",
            "telephone_number": "972-505-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Aquino
• David A Arai, M.D.
• Ulises Arango Peniche
• Araujo Clinic PA
• Jack Riley Arbuckle, MS, LPC
• Paul M. Archibeque
• Arabella Arellano
• Frank Placido Arena
• Andrina Katherin Arenas, PT,DPT, OCS
• Lindsey Marie Argabright, D.C.

• Speech-Language Pathologist in Frisco, TX
• Providers in Frisco, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.