Shannon Lynn Dyer, M.S., CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242001028 Issued in IL

Practice address

11411 W 183Rd St
Suite B
Orland Park, IL 60467-9450

Phone

(708) 478-1820

Fax

(708) 478-3316

NPI assigned

Sep 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Bautz Developmental Intervention Inc

  • Physical Therapist
  • Orland Park, IL
  • NPI 1376530055
  NPD (past)

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1801045794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 W 183RD ST",
            "address_2": "SUITE B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679450",
            "telephone_number": "708-478-1820",
            "fax_number": "708-478-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 W 183RD ST",
            "address_2": "SUITE B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679450",
            "telephone_number": "708-478-1820",
            "fax_number": "708-478-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "credential": "M.S., CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242001028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09932114",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorin H Dunston, LSW
• Delisha Dupee
• Andrea Kathleen Parungao Duran, PT, DPT
• Hetal Dutia, OTR
• Jessica Dy-Johnson, M.D.
• Dynamic Minds, LLC
• Carrie M Dytrych
• Feng E
• Terri Eakins, L.C.P.C.
• Darrielle Earls, COTA/L

• Speech-Language Pathologist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.