Shannon Rose Sullivan, MS, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

9520 Prototype CT
Reno, NV 89521-5916

Phone

(775) 852-6323

Fax

(775) 852-6321

NPI assigned

Feb 5, 2020

Last updated

Aug 4, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Shannon Sullivan, Ms, CCC-SLP, LLC

  • Speech-Language Pathologist
  • Reno, NV
  • NPI 1144848722
  NPD Authorized official

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1841822053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 PROTOTYPE CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215916",
            "telephone_number": "775-852-6323",
            "fax_number": "775-852-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 PROTOTYPE CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215916",
            "telephone_number": "775-852-6323",
            "fax_number": "775-852-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SHANNON",
        "middle_name": "ROSE",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura E. Sullivan, MD
• Lindsy Sullivan, LSW
• Megan Michele Sullivan, LMSW, CSW-INTERN
• Nickolas Allan Sullivan, HIS
• Sara Margaret Sullivan, PA-C
• Tiffany Sullivan, LMT
• Dina Sultan
• Rohman Sultan
• Sweeta Sultan
• Ape Sulunga

• Speech-Language Pathologist in Reno, NV
• Providers in Reno, NV by specialty
• Speech-Language Pathologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.