Shooting Star Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SHOOTING STAR SPEECH THERAPY LLC

Practice address

33 Percy St Apt B
Charleston, SC 29403-5957

Phone

(954) 592-5478

NPI assigned

Feb 27, 2024

Organization subpart

No

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

Authorized official

Name

Shannon Blackstone, MS, CCC-SLPNPI 1164732616

Title

Speech-Language Pathologist, Owner

Phone

(954) 592-5478

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Blackstone

  • Speech-Language Pathologist
  • Charleston, SC
  • NPI 1164732616
  NPD Authorized official

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1578329520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PERCY ST APT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PERCY ST APT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035957",
            "telephone_number": "954-592-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOOTING STAR SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "BLACKSTONE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "954-592-5478",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Shiver, MSR, CCC-SLP
• Clara Shockley, LCSW-C
• Hannah Shoemaker, MA
• Mary Lou Shoemaker, LISW
• Brianne Nicole Shokri, PHARMD
• Chelsea Noelle Shope, MD, MSCR
• Rinah Ilene Shopnick, DO
• Nathan Joseph Shores, M.D.
• Edward Baron Short, MD
• Heather Reagan Short, OTD, OTR/L

• Speech-Language Pathologist in Charleston, SC
• Providers in Charleston, 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 27, 2024; 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.