Shannon Racquel Fisher

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

110 NE 193Rd St
Miami, FL 33179-3231

Phone

(786) 877-0995

NPI assigned

Oct 4, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1467093062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NE 193RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793231",
            "telephone_number": "786-877-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NE 193RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793231",
            "telephone_number": "786-877-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "SHANNON",
        "middle_name": "RACQUEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7868770995",
            "affiliation": "N",
            "endpointDescription": "cell phone",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "home address",
            "address_1": "110 NE 193rd St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331793231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark N Fisher, DDS,MAGD
• Marquessa D Fisher, CRNA
• Nicole Leanne Fisher, M.S. SLP
• Paul Scott Fisher, D.C.
• Rachel Michal Fisher
• Vernadette Fisher, APRN
• Allan Fishman, MD
• Daniela Fishman, NP
• Joel E Fishman, M.D.
• Fisimed Rehabilitation Center Corp

• Speech-Language Pathologist in Miami, FL
• Providers in Miami, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.