Shannon D. Maclin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4154 Issued in TN

Practice address

1231 Harbor River Dr
Memphis, TN 38103-8980

Phone

(870) 692-2844

Fax

(901) 552-5731

NPI assigned

Jan 27, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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.

• Fox Rehabilitation Services TN LLC

  • Physical Therapist
  • Spring Hill, TN
  • NPI 1710406491

  Speech-Language Pathologist

  Medicare reassignment NPD
• Elite Speech Plus LLC

  • Speech-Language Pathologist
  • Memphis, TN
  • NPI 1821582107
  NPD

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1720401714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 HARBOR RIVER DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381038980",
            "telephone_number": "870-692-2844",
            "fax_number": "901-552-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 HARBOR RIVER DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381038980",
            "telephone_number": "870-692-2844",
            "fax_number": "901-552-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLIN",
        "first_name": "SHANNON",
        "middle_name": "D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "3186",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services TN LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "3056 Miles Johnson Pkwy",
            "city": "Spring Hill",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371744564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Justin J Macklin, PHARM D.
• Olivia Maclaren, MD
• Carlisha Maclin
• Karol Latonya Maclin, RN, MSN, FNP-C
• Kristen Maclin
• Sheila Maclin, WHNP
• Mary Bailie-Keiter Macqueen, MSW
• Hasiat Oyinkansola Madamidola, MD
• Maria Cristina Caparas Madarang, PT
• Ravi K Madasu, MD

• Speech-Language Pathologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.