Shannon Slattery, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202003844 Issued in VA

Practice address

408 Cedar Rd
Chesapeake, VA 23322-5516

Phone

(757) 547-1135

NPI assigned

Apr 29, 2018

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1524960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524960000000",
    "number": "1679061253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432 MACQUEEN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234647722",
            "telephone_number": "757-343-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CEDAR RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225516",
            "telephone_number": "757-547-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-29",
        "last_updated": "2018-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Michelle Skorupa, MD
• Sladjana Skrba-Turkovic, DDS
• Skyline 21 LLC
• Skyline Under 21 LLC
• Robin G Slater
• Bridget L. Slaughter, OT/L
• Shellye Lerene Sledge, LCSW
• Sleep Disorder Centers of Hampton Roads,PC
• Sleepmed Hampton Roads LLC
• Sleepmed Therapies, Inc.

• Speech-Language Pathologist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.