Individual provider Active NPI

Shannon Lynne Kerr, MA CCC-SLP

  • Speech-Language Pathologist
  • Pittsburgh, PA
National Provider Identifier
1508994203
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL008749 Issued in PA
Practice address
River Speech & Edu Services Inc. 1350 Old Freeport Rd
Suite 2Ar
Pittsburgh, PA 15238
Phone
(412) 963-0463
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL008749 PA Primary

Addresses

Primary practice location

River Speech & Edu Services Inc. 1350 Old Freeport Rd
Suite 2Ar
Pittsburgh, PA 15238

Mailing address

Esc of Central Ohio
2080 Citygate Drive
Columbus, OH 43202-3591
Phone (614) 445-3750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SL008749PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Educational Service Center of Central Ohio PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1508994203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ESC OF CENTRAL OHIO",
            "address_2": "2080 CITYGATE DRIVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432023591",
            "telephone_number": "614-445-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIVER SPEECH & EDU SERVICES INC. 1350 OLD FREEPORT RD",
            "address_2": "SUITE 2AR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15238",
            "telephone_number": "412-963-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "SHANNON",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.