Individual provider Active NPI

Shanna Rhea Preston Allen, M.A. CCC

  • Speech-Language Pathologist
  • Zephyrhills, FL
National Provider Identifier
1922235290
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12638 Issued in FL
Practice address
35015 Meadow Reach Dr
Zephyrhills, FL 33541
Phone
(813) 415-9653
NPI assigned
Jun 15, 2009
Last updated
Jul 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010400600MedicaidFL
014374500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211003163 FL Practitioner - Qualified Speech Language Pathologist 1951645373 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
SA12638FLMDSpeech-Language Pathologist
09-049KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Oct 8, 2018 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.

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.

Verify at the official NPI Registry.