Individual provider Active NPI

Shannon N Hornbach

  • Speech-Language Pathologist
  • Edgewood, KY
National Provider Identifier
1740301852
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
06-066 Issued in KY
Practice address
1 Sperti Dr
Edgewood, KY 41017-9654
Phone
(859) 344-9322
Fax
(859) 344-9332
NPI assigned
Apr 3, 2007
Last updated
Apr 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 06-066 KY Primary

Addresses

Primary practice location

1 Sperti Dr
Edgewood, KY 41017-9654

Mailing address

1 Sperti Dr
Edgewood, KY 41017-9654
Phone (859) 344-9322

Other names 1

  • Shannon N Starnes Former name

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

State licenses

LicenseStateTypeSpecialty
06-066KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1740301852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SPERTI DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410179654",
            "telephone_number": "859-344-9322",
            "fax_number": "859-344-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPERTI DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410179654",
            "telephone_number": "859-344-9322",
            "fax_number": "859-344-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBACH",
        "first_name": "SHANNON",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "06-066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "STARNES",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edgewood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.