Individual provider Active NPI

Shannon Leigh Barber, MA, CCC-SLP

  • Speech-Language Pathologist
  • Fort Myers, FL
National Provider Identifier
1700186160
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 8647 Issued in FL
Practice address
12220 Towne Lake Dr Ste 1
Fort Myers, FL 33913-8021
Phone
(239) 433-6700
NPI assigned
Nov 1, 2010
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Speech-Language Pathologist 235Z00000X SA 8647 FL Primary
Developmental Therapist 222Q00000X NU

Addresses

Primary practice location

12220 Towne Lake Dr Ste 1
Fort Myers, FL 33913-8021

Mailing address

13240 Bristol Park Way
Fort Myers, FL 33913-7800
Phone (239) 243-1000

Other practice location 1

1510 Hancock Bridge Pkwy Ste 6
Cape Coral, FL 33990-1715
Phone (239) 478-7059

Other identifiers 1

IdentifierTypeStateIssuer
890749800MedicaidFL

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 Arts

State licenses

LicenseStateTypeSpecialty
SA 8647FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
TNT Pediatric Therapy, LLC Speech-Language Pathologist CurrentSince Nov 9, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1700186160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13240 BRISTOL PARK WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339137800",
            "telephone_number": "239-243-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 TOWNE LAKE DR STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138021",
            "telephone_number": "239-433-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Hancock Bridge Pkwy Ste 6",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339901715",
            "country_code": "US",
            "telephone_number": "239-478-7059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBER",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8647",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890749800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.