Shannon Neary

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7216 Issued in SC

Practice address

2070 Northbrook Blvd Ste B4
Charleston, SC 29406-9254

Phone

(843) 569-3033

NPI assigned

May 4, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Charleston Pediatric Rehabilitation

  • Occupational Therapist
  • North Charleston, SC
  • NPI 1649634593

  Speech-Language Pathologist

  NPD (past)
• Charleston Pediatric Rehabilitation LLC

  • Behavior Analyst
  • Charleston, SC
  • NPI 1982189718
  NPD (past)

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1891378253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 ASHLEY RIVER RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075305",
            "telephone_number": "843-769-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 NORTHBROOK BLVD STE B4",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069254",
            "telephone_number": "843-569-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 Ashley River Rd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294075305",
            "country_code": "US",
            "telephone_number": "843-769-0663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEARY",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Messages",
            "address_1": "2070 Northbrook Blvd Ste B4",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294069254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Anderson Neal, M.D.
• Matthew Thomas Neal, MD
• Raven Neal, LCSW
• Trace Alexander Neal, MD
• Brendan James Neary, M.D.
• Stephanie Neary, MPA, MMS, PAC
• Susan Claire Nease, NP
• Michael Robert Neboschick, PH.D.
• McKenzie Needham
• Cassidy Neel

• Speech-Language Pathologist in Charleston, SC
• Providers in Charleston, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.