Individual provider Active NPI

Shannon Leigh Huey, M.S., CCC-SLP

  • Speech-Language Pathologist
  • North Augusta, SC
National Provider Identifier
1770768392
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2343 Issued in SC
Practice address
112 Orchard Way
North Augusta, SC 29860-7593
Phone
(706) 840-1854
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 2343 SC Primary

Addresses

Primary practice location

112 Orchard Way
North Augusta, SC 29860-7593

Mailing address

112 Orchard Way
North Augusta, SC 29860-7593
Phone (706) 840-1854

Other practice location 1

536 Grand Slam Dr
Evans, GA 30809-8044
Phone (706) 854-8434

Other identifiers 1

IdentifierTypeStateIssuer
864050450AMedicaidGA

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770768392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ORCHARD WAY",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298607593",
            "telephone_number": "706-840-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ORCHARD WAY",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298607593",
            "telephone_number": "706-840-1854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "536 Grand Slam Dr",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308098044",
            "country_code": "US",
            "telephone_number": "706-854-8434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUEY",
        "first_name": "SHANNON",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "864050450A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.