SHANNON MCNELLIS


Address: 5009 Frankford Ave, Baltimore, MD 21206-5353
Phone: 4103254000

SHANNON MCNELLIS (NPI# 1396223947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396223947
Entity Type Individual
Full Name SHANNON MCNELLIS
Practice Address 5009 Frankford Ave
Baltimore
MD 21206-5353
Mailing Address 402 Verona Ct
Millersville
MD 21108-1917
Practice Telephone 4103254000
Mailing Telephone 4105302609
Enumeration Date 2018-08-04
Last Update Date 2018-08-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 08781 MD Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION 14279776 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
615 Chestnut Ave, Baltimore, MD 212043742 4108257423

Office Location

Street Address 5009 FRANKFORD AVE
City BALTIMORE
State MD
Zip Code 21206-5353

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740281005 Southeast Nursing & Rehabilitation Center Skilled Nursing Facility 5009 Frankford Ave, Baltimore, MD 21206-5353 2005-08-09
1639799349 Kelvin Prince Jr. Physical Therapy Assistant 5009 Frankford Ave, Baltimore, MD 21206-5353 2020-04-22
1639678378 Deborah Racosky Occupational Therapist 5009 Frankford Ave, Baltimore, MD 21206-5353 2018-02-08
1962900084 Melanie Cassidy Occupational Therapist 5009 Frankford Ave, Baltimore, MD 21206-5353 2018-01-23
1336654276 Katherine Jensen Occupational Therapist 5009 Frankford Ave, Baltimore, MD 21206-5353 2017-12-13
1891224911 Katherine Rose Brisson Physical Therapist 5009 Frankford Ave, Baltimore, MD 21206-5353 2017-06-12
1134652290 Pamela Gorham Speech-Language Pathologist 5009 Frankford Ave, Baltimore, MD 21206-5353 2017-04-06
1861941361 Latia Rivers Occupational Therapist 5009 Frankford Ave, Baltimore, MD 21206-5353 2016-09-25
1760833800 Bio-medical Applications of Maryland, Inc Clinic/Center 5009 Frankford Ave, Baltimore, MD 21206-5353 2016-06-30
1235589573 Megan Reamer Occupational Therapist 5009 Frankford Ave, Baltimore, MD 21206-5353 2016-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194370601 Tates Health Care, LLC Nursing Care 7303 Beech Ave, Baltimore, MD 21206 2019-08-02
1962912444 Meagan Carreira Occupational Therapy Assistant 5009 Frankfurt Avenue, Baltimore, MD 21206 2017-10-10
1821511551 Anu Healthcare Services Inc Psychiatry & Neurology 4809 Belair Road, Baltimore, Maryland, MD 21206 2017-07-25
1447704648 Belair Health Solutions, Inc Counselor 4825 Belair Rd., Baltimore, MD 21206 2016-08-05
1053716563 Paule Kengne Home Health Aide 4602 Willshire Ave, Baltimore, MD 21206 2014-10-27
1821408733 Shana Gee Technician 4238 Seidel Ave, Baltimore, MD 21206 2014-04-30
1902236524 Heidi Ann Smith Physical Therapist 3910 Chesley Avenue, Baltimore, MD 21206 2013-11-18
1891138277 Kenyona N Davis Social Worker 5622 Remmell Ave Unit F, Baltimore, MD 21206 2013-04-16
1497095368 Aderonke Ogunsua Home Health Aide 4430 Moravia Rd Apt10, Baltimore, MD 21206 2013-02-28
1902173974 Jennifer Lea Reed Social Worker 5901 Benton Heights Avenue, Baltimore, MD 21206 2011-11-19
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497352496 Kristine Helen Moore Speech-Language Pathologist 6300 Pinehurst Rd, Baltimore, MD 21212-2534 2020-10-04
1508473018 Katherine Campagna Speech-Language Pathologist 2601 Tolley St, Baltimore, MD 21230-1534 2020-09-29
1629685656 Cali Wilde Speech-Language Pathologist 111 W Heath St Unit 401, Baltimore, MD 21230-4457 2020-09-24
1003422890 Rachel Weeks Speech-Language Pathologist 112 S Patterson Park Ave Apt 4, Baltimore, MD 21231-2114 2020-09-17
1285249508 Alexandra Walker Speech-Language Pathologist 1300 Gorsuch Ave, Baltimore, MD 21218-3777 2020-09-14
1154936425 Claire Elizabeth Fassett Speech-Language Pathologist 1624 Eutaw Pl, Baltimore, MD 21217-3724 2020-09-13
1356955371 Gabriela Peixoto Pereira Speech-Language Pathologist 3801 Fallstaff Rd, Baltimore, MD 21215-1502 2020-09-08
1407467012 Sarah Miriam Preiser Speech-Language Pathologist 2901 Smith Ave, Baltimore, MD 21208-4540 2020-08-17
1063020295 Ashley Banini Speech-Language Pathologist 8220 Tawnmoore Rd, Baltimore, MD 21244-3049 2020-07-14
1275151664 Katherine Ann Gallaher Speech-Language Pathologist 507 S East Ave, Baltimore, MD 21224-3914 2020-07-11
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Competitor

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City BALTIMORE
Zip Code 21206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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