Active NPI
Shannon Rose Atkinson, M.S., CCC-SLP
- Speech-Language Pathologist
- Owings Mills, MD
National Provider Identifier
1699077941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 05792
- Practice address
- 11500 Cronridge Dr
Suite 130
Owings Mills, MD 21117-2261 - Phone
- (410) 531-1113
- NPI assigned
- Nov 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 05792 | MD | Primary |
Addresses
Primary practice location
11500 Cronridge Dr
Suite 130
Owings Mills, MD 21117-2261
Mailing address
970 Tara Oaks CT
Westminster, MD 21157-7027
Phone (609) 923-0469
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05792 | MD | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1699077941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 TARA OAKS CT",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211577027",
"telephone_number": "609-923-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 CRONRIDGE DR",
"address_2": "SUITE 130",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211172261",
"telephone_number": "410-531-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "SHANNON",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-18",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "05792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.