Individual provider Active NPI

Shannon Elizabeth Campbell Whittley

  • Speech-Language Pathologist
  • Silver Spring, MD
National Provider Identifier
1538783733
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
77632 Issued in MA
Practice address
1133 E West Hwy Apt 1417W
Silver Spring, MD 20910-6834
Phone
(508) 364-4892
NPI assigned
Jun 3, 2020
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X MD
Speech-Language Pathologist 235Z00000X 77632 MA Primary

Addresses

Primary practice location

1133 E West Hwy Apt 1417W
Silver Spring, MD 20910-6834

Mailing address

1133 E West Hwy Apt 1417W
Silver Spring, MD 20910-6834
Phone (508) 364-4892

Other names 1

  • Shannon Elizabeth Campbell Former name

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

State licenses

LicenseStateTypeSpecialty
77632MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1538783733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E WEST HWY APT 1417W",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106834",
            "telephone_number": "508-364-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E WEST HWY APT 1417W",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106834",
            "telephone_number": "508-364-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTLEY",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH CAMPBELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "CAMPBELL",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.