Shannon Laura Dalley, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP5074 Issued in AZ

Practice address

17679 W Tasha Dr
Surprise, AZ 85388-1770

Phone

(623) 262-0092

NPI assigned

Feb 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Achievement Therapy Services

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1265499701
  Medicare reassignment NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1699800508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17679 W TASHA DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853881770",
            "telephone_number": "623-262-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17679 W TASHA DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853881770",
            "telephone_number": "623-262-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLEY",
        "first_name": "SHANNON",
        "middle_name": "LAURA",
        "credential": "MACCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP5074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGI",
            "identifier": "123566",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D&S NW Phoenix HC LLC
• D&S NW Phoenix HC LLC
• Daniel James Daffinrud, ATC
• Rebekah Ellen Dagny, PEDIATRIC NURSE PRAC
• Courtney Dalee, FNP-BC
• Damaris Assisted Living Home
• Benjamin C Damico
• Leslie Dana-Kirby, PH.D.
• Frederick Dando
• Denise Duong Dang, PHARMD

• Speech-Language Pathologist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.