Shannon Bridges, MSR, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4148 Issued in SC

Practice address

3400 Anderson Rd Ste C
Greenville, SC 29611-7651

Phone

(864) 295-9890

Fax

(864) 295-9894

NPI assigned

Jul 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Allegiant Pediatrics LLC

  • Pediatric Physical Therapist
  • Greenville, SC
  • NPI 1013306620

  Speech-Language Pathologist

  NPD (past)
• The Care Center Inc.

  • Pediatric Physical Therapist
  • Greenville, SC
  • NPI 1326059288

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1508064155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 ANDERSON RD STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117651",
            "telephone_number": "864-295-9890",
            "fax_number": "864-295-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 ANDERSON RD STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117651",
            "telephone_number": "864-295-9890",
            "fax_number": "864-295-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "SHANNON",
        "credential": "MSR, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0881",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Page Bridges, M.D.
• Jessica L Bridges, LPCA
• Jessica Lynn Bridges, LPC
• Nina E Bridges
• Renee L Bridges, FNP
• Tommy L Bridges, M.D.
• Brittany Victoria Bridwell, FNP
• James M Bridwell, CRNA
• Briggs Psychiatry & Behavioral Health, PC
• Asa Tavares Briggs, NP

• Speech-Language Pathologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.