SHANNON SULLIVAN MA CCC-SLP
NPI 1114394202
Speech-Language Pathologist in Sturbridge, MA

Q: What is Shannon Sullivan's NPI number?

The NPI number for Shannon Sullivan is 1114394202. It was assigned to this individual provider in the NPPES registry on August 25, 2015.

Q: What is Shannon Sullivan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Sullivan was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 25, 2015

64 MAIN ST, STURBRIDGE, MA 01566(774) 318-1900(774) 272-8810 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon Sullivan Ma Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON SULLIVAN MA CCC-SLP (NPI 1114394202) is an individual speech-language pathologist provider in Sturbridge, Massachusetts, licensed in Massachusetts (5734) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1114394202

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSHANNON SULLIVANCredential: MA CCC-SLP

Location Address64 MAIN STSturbridge, MA 01566-1244

Mailing Address64 Main StSturbridge, MA 01566-1244 · (774) 318-1900 · Fax (774) 272-8810

Phone(774) 318-1900

Fax(774) 272-8810

Sole ProprietorNo

Enumeration DateAugust 25, 2015

Last NPPES UpdateMay 8, 2019

✔ NPI 1114394202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MA · 5734

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.

64 MAIN ST, Sturbridge, MA 01566

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH ANN MURPHY

Occupational Therapist

64 MAIN ST
STURBRIDGE, MA 01566

Worcester County (774) 304-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Sullivan's NPI number?

The NPI number for Shannon Sullivan is 1114394202. It was assigned to this individual provider in the NPPES registry on August 25, 2015.

Where is Shannon Sullivan located?

Shannon Sullivan practices at 64 Main St, Sturbridge, MA 01566. The listed phone number is (774) 318-1900.

What is Shannon Sullivan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Shannon Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield list Shannon Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Sullivan was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.