Shawnna Russell, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA13315 Issued in FL

Practice address

8254 118TH Ave Ste 100
Largo, FL 33773-5027

Phone

(727) 541-5304

NPI assigned

May 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1609366152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 31ST TER N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337103012",
            "telephone_number": "860-558-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 118TH AVE STE 100",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735027",
            "telephone_number": "727-541-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SHAWNNA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RSC Largo, LLC
• RT Temps Inc.
• Marcella Lisa Rubino-Tiltti, M.A.
• Austin Ruedrich, PT, DPT
• Russell Emergency Physicians LLC
• Tracy Gayle Rutherford, APRN
• Enver Ruzdija, ARNP-C
• Laurie Ryan, OTR
• Erin Ryczek, OTR/L
• Sa-PG Pinellas, LLC

• Speech-Language Pathologist in Largo, FL
• Providers in Largo, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.