Active NPI
Shannon Rebecca Wheeler, M.A., CCC-SLP
- Speech-Language Pathologist
- Philadelphia, PA
National Provider Identifier
1750926333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1750926333
- Practice address
- 2 Penn Blvd Ste 220
Philadelphia, PA 19144-1403 - Phone
- (215) 844-5400
- NPI assigned
- Nov 7, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL014903 | PA | |
| Speech-Language Pathologist | 235Z00000X | 1750926333 | VA | Primary |
Addresses
Primary practice location
2 Penn Blvd Ste 220
Philadelphia, PA 19144-1403
Mailing address
PO Box 412307
Boston, MA 02241-1403
Phone (914) 294-4050
Other practice location 1
5421 Patterson Ave
Richmond, VA 23226-2003
Phone (804) 288-0642
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | swheeler@clarkeschools.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SL014903 | PA | MD | Speech-Language Pathologist |
| 1750926333 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1750926333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412307",
"city": "BOSTON",
"state": "MA",
"postal_code": "022411403",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PENN BLVD STE 220",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191441403",
"telephone_number": "215-844-5400"
}
],
"practiceLocations": [
{
"address_1": "5421 Patterson Ave",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232262003",
"country_code": "US",
"telephone_number": "804-288-0642",
"fax_number": "804-285-0292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "SHANNON",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL014903",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "1750926333",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "swheeler@clarkeschools.org",
"affiliation": "N",
"address_1": "2 Penn Blvd Ste 220",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191441403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.