Shannon Brooks

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0717 Issued in WV

Practice address

101 Carriage PT Ste 202
Hurricane, WV 25526-1526

Phone

(681) 235-7156

Fax

(800) 901-7511

NPI assigned

Sep 19, 2017

Last updated

Sep 19, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Communication Station, Inc.

  • Early Intervention Provider Agency
  • Scott Depot, WV
  • NPI 1780068007
  NPD (past)

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1770002933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 977",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255260977",
            "telephone_number": "681-235-7156",
            "fax_number": "800-901-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CARRIAGE PT STE 202",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255261526",
            "telephone_number": "681-235-7156",
            "fax_number": "800-901-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "0717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara B Brady
• Gisette Brewster
• Bright Beginnings LLC
• John E Brock, D.D.S.
• Rebecca Brogan
• Pamela Sue Brown
• William Matthew Brown
• Alexis Browning
• Sheri Browning, MA,LCSW
• Mollie Bruce

• Speech-Language Pathologist in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.