Active NPI
Shannon Kathleen Perry, M.S ED CCC-SLP
- Speech-Language Pathologist
- Naples, FL
National Provider Identifier
1962785337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 021415-1
- Practice address
- 16165 Learning LN
Naples, FL 34110 - Phone
- (239) 377-4600
- NPI assigned
- Sep 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 021415-1 | NY | Primary |
Addresses
Primary practice location
16165 Learning LN
Naples, FL 34110
Mailing address
4141 Sawgrass Point Dr
Bonita Springs, FL 34134-2928
Phone (315) 651-2866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021415-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1962785337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 SAWGRASS POINT DR",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341342928",
"telephone_number": "315-651-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16165 LEARNING LN",
"city": "NAPLES",
"state": "FL",
"postal_code": "34110",
"telephone_number": "239-377-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "SHANNON",
"middle_name": "KATHLEEN",
"name_prefix": "Miss",
"credential": "M.S ED CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-22",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "021415-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.