Shannon Kay Bradshaw

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA12846 Issued in AZ

Practice address

11455 E Sunland Ave
Mesa, AZ 85208-7705

Phone

(480) 472-4075

NPI assigned

Aug 26, 2021

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

State licenses

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1487321352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E SHANNON ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852959020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11455 E SUNLAND AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852087705",
            "telephone_number": "480-472-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "SHANNON",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA12846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skbradshaw@mpsaz.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11455 E Sunland Ave",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852087705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cassie R Bradley, D.C.
• Amanda L. Bradshaw, M.S., CCC-SLP
• Amber P Bradshaw
• Daniel Bradshaw, RPH
• Robert Lynn Bradshaw, D.C.
• Trine Bradshaw, IBCLC
• Catherine Sue Bradway, MSN, APRN, BC
• Jean Marie Brady, DENTAL HYGIENIST
• Kristiana Brady
• Robyn Elouise Brady, MA, CCC-SLP

• Speech-Language Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.