Individual provider Active NPI

Shannon Boyd-Robertson, MS CF-SLP

  • Speech-Language Pathologist
  • Concord, NH
National Provider Identifier
1659655041
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
P-0501 Issued in NH
Practice address
239 Pleasant St
Concord, NH 03301-7504
Phone
(603) 224-6561
Fax
(603) 229-4589
NPI assigned
Oct 4, 2011
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X P-0501 NH Primary

Addresses

Primary practice location

239 Pleasant St
Concord, NH 03301-7504

Mailing address

239 Pleasant St
Concord, NH 03301-7504
Phone (603) 224-6561

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

LicenseStateTypeSpecialty
P-0501NHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1659655041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017504",
            "telephone_number": "603-224-6561",
            "fax_number": "603-229-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017504",
            "telephone_number": "603-224-6561",
            "fax_number": "603-229-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD-ROBERTSON",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "MS CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "P-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.