Active NPI
Shannon Sisco Dukes, M.S., CCC-SLP
- Speech-Language Pathologist
- Scottsboro, AL
National Provider Identifier
1548426737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1985
- Practice address
- 622 S Market St
Scottsboro, AL 35768-1737 - Phone
- (256) 574-0205
- NPI assigned
- Aug 6, 2008
- Last updated
- Aug 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1985 | AL | Primary |
Addresses
Primary practice location
622 S Market St
Scottsboro, AL 35768-1737
Mailing address
622 S Market St
Scottsboro, AL 35768-1737
Phone (256) 574-0205
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1985 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1548426737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 S MARKET ST",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357681737",
"telephone_number": "256-574-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 S MARKET ST",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357681737",
"telephone_number": "256-574-0205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKES",
"first_name": "SHANNON",
"middle_name": "SISCO",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-06",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "1985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.