Individual provider Active NPI

Shannon Leary, CCC-SLP

  • Speech-Language Pathologist
  • Waltham, MA
National Provider Identifier
1952712606
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP9223 Issued in MA
Practice address
220 Bear Hill Rd Ste 102
Waltham, MA 02451
Phone
(781) 790-8479
Fax
(781) 281-9181
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP9223 MA Primary

Addresses

Primary practice location

220 Bear Hill Rd Ste 102
Waltham, MA 02451

Mailing address

220 Bear Hill Rd Ste 102
Waltham, MA 02451-1004
Phone (781) 790-8479

Other names 1

  • Shannon McCune Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250820004931 MA Practitioner - Qualified Speech Language Pathologist 0143720540 Reassigns benefits to 1 organization
I20250822004139 NY Practitioner - Qualified Speech Language Pathologist 0143720540 Reassigns benefits to 1 organization
I20250918003912 FL Practitioner - Qualified Speech Language Pathologist 0143720540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7600 Chevy Chase Dr
Suite 300
Austin, TX 78752-1503

7600 Chevy Chase Drive BLDG 2
Suite 300
Austin, TX 78752-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Integrative Spot Speech-Language Pathologist Current Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Sep 22, 2025 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Sep 22, 2025 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1952712606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BEAR HILL RD STE 102",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511004",
            "telephone_number": "781-790-8479",
            "fax_number": "781-281-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BEAR HILL RD STE 102",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02451",
            "telephone_number": "781-790-8479",
            "fax_number": "781-281-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "SHANNON",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SLP9223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MCCUNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.