Shannon Phillips

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2119 Pocomoke Beltway
Pocomoke City, MD 21851-3025

Phone

(410) 632-5130

Fax

(410) 632-5139

NPI assigned

Dec 5, 2018

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

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1861962656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 POCOMOKE BELTWAY",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218513025",
            "telephone_number": "410-632-5130",
            "fax_number": "410-632-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 POCOMOKE BELTWAY",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218513025",
            "telephone_number": "410-632-5130",
            "fax_number": "410-632-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Arms & Hearts Health Services
• Open Arms & Hearts Health Services
• Open Arms & Hearts Health Services
• Benedicta Osei Owusu, CRNP
• Natalie Renae Parks, DNP, FNP-C
• Pocomoke City MD Opco LLC
• Pocomoke City Volunteer Ambulance Company Inc.
• Pocomoke Dental
• Pocomoke Operating LLC
• Pocomoke Vol Amb Co.,Inc

• Speech-Language Pathologist in Pocomoke City, MD
• Providers in Pocomoke City, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.