Shannon McKewin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18167 Issued in OR

Practice address

1012 SW Emkay Dr
Bend, OR 97702-1010

Phone

(541) 204-1757

NPI assigned

Jul 9, 2024

Last updated

Jul 9, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuro SLP ServicesGroup PAC ID 9638537095, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Neuro SLP Services

  dba Sagebrush Speech Therapy

  • Speech-Language Pathologist
  • Bend, OR
  • NPI 1558054387
  Medicare reassignment Care Compare group NPD
• Neuro Speech Therapy

  • Speech-Language Pathologist
  • Bend, OR
  • NPI 1093400731
  NPD (past)

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1508603408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62898 BILYEU WAY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017024",
            "telephone_number": "773-558-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 SW EMKAY DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021010",
            "telephone_number": "541-204-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEWIN",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "18167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith McKee, HCI
• Juli McKee
• Caroline Hanna McKeighan, DPT
• Sharla Gale McKenna
• Pam A McKenzie, NCTMB
• Keith McKie, RPH
• Holly L McKim, OT
• Eric Martin McKinley, MSW
• McKnight Physical Therapy
• Jack McKnight, PT, DPT

• Speech-Language Pathologist in Bend, OR
• Providers in Bend, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.