Shannon Bonnett, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30001646 Issued in NC

Practice address

2212 Midland Rd Ste 3
Pinehurst, NC 28374-8271

Phone

(910) 227-9892

NPI assigned

Aug 16, 2011

Last updated

Oct 16, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Sweet Magnolia Speech Therapy PLLC

  • Speech-Language Pathologist
  • Seven Lakes, NC
  • NPI 1023609237
  NPD

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1588943997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 MCCASKILL RD",
            "city": "CARTHAGE",
            "state": "NC",
            "postal_code": "283278950",
            "telephone_number": "910-227-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 MIDLAND RD STE 3",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748271",
            "telephone_number": "910-227-9892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 7 Lks N Ste E",
            "address_purpose": "LOCATION",
            "city": "Seven Lakes",
            "state": "NC",
            "postal_code": "273769753",
            "country_code": "US",
            "telephone_number": "910-227-9892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONNETT",
        "first_name": "SHANNON",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30001646",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP3054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Rae Boan, PA-C
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• Zachary Bohlmann, PA-C
• Tiffany Earle Bonnecaze, M.D.
• Giovanni Boone
• Krystine Elizabeth Borgstrom, LCSW-A
• Alita Borkar, MA, OTR/L
• Alexia Bostic, LPN
• Karen Boston

• Speech-Language Pathologist in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.