Active NPI
Shannon Hardee
- Speech-Language Pathologist
- Clayton, DE
National Provider Identifier
1861043978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 04-0000627
- Practice address
- Clayton Elementary
510 Main Street
Clayton, DE 19938 - Phone
- (302) 653-2803
- NPI assigned
- Sep 20, 2019
- Last updated
- Sep 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 04-0000627 | DE | Primary |
Addresses
Primary practice location
Clayton Elementary
510 Main Street
Clayton, DE 19938
Mailing address
415 Orchard Grove Dr
Camden, DE 19934-4905
Phone (618) 920-7566
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-0000627 | DE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1861043978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 ORCHARD GROVE DR",
"city": "CAMDEN",
"state": "DE",
"postal_code": "199344905",
"telephone_number": "618-920-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CLAYTON ELEMENTARY",
"address_2": "510 MAIN STREET",
"city": "CLAYTON",
"state": "DE",
"postal_code": "19938",
"telephone_number": "302-653-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDEE",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DE",
"license": "04-0000627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.