Active NPI
Shanna Rhea Preston Allen, M.A. CCC
- Speech-Language Pathologist
- Zephyrhills, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA12638
- Practice address
- 35015 Meadow Reach Dr
Zephyrhills, FL 33541 - Phone
- (813) 415-9653
- NPI assigned
- Jun 15, 2009
- Last updated
- Jul 20, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3800 | KY | |
| Speech-Language Pathologist | 235Z00000X | 09-049 | KY | |
| Speech-Language Pathologist | 235Z00000X | SA12638 | FL | Primary |
| Developmental Therapist | 222Q00000X | NU |
Addresses
Primary practice location
35015 Meadow Reach Dr
Zephyrhills, FL 33541
Mailing address
35015 Meadow Reach Dr
Zephyrhills, FL 33541-1964
Phone (813) 415-9653
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010400600 | Medicaid | FL | |
| 014374500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6245 State Rd
Suite 54
New Port Richey, FL 34653-6006
Phone (727) 376-1111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA12638 | FL | MD | Speech-Language Pathologist |
| 09-049 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Engage to Connect Therapy Services, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Kernaghan and Moore: Speech and Language Therapy Services, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Kernaghan and Moore: Speech and Language Therapy Services, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Locations
6245 State Road 54
New Prt Rchy, FL 34653
Phone (727) 376-1111
1226 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 666-5550
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- New Port Richey, FL
- NPI 1467693192
-
- Speech-Language Pathologist
- Zephyrhills, FL
- NPI 1407333651
-
- Speech-Language Pathologist
- Spring Hill, FL
- NPI 1033888318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1922235290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35015 MEADOW REACH DR",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335411964",
"telephone_number": "813-415-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35015 MEADOW REACH DR",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "33541",
"telephone_number": "813-415-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "SHANNA",
"middle_name": "RHEA PRESTON",
"name_prefix": "Mrs.",
"credential": "M.A. CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-15",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "3800",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "09-049",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA12638",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010400600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014374500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zephyrhills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.