SHANESE CAMPBELL CCC-SLP
NPI 1124745617
Speech-Language Pathologist in West Park, FL

Q: What is Shanese Campbell's NPI number?

The NPI number for Shanese Campbell is 1124745617. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Q: What is Shanese Campbell'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 Shanese Campbell was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 25, 2022

4008 SW 27TH ST, WEST PARK, FL 33023(954) 864-4511 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shanese Campbell Ccc-slp NPPES

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

SHANESE CAMPBELL CCC-SLP (NPI 1124745617) is an individual speech-language pathologist provider in West Park, Florida, licensed in Florida (SA20870) and active in the NPI registry since October 2022. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1124745617

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSHANESE CAMPBELLCredential: CCC-SLP

Location Address4008 SW 27TH STWest Park, FL 33023-4468

Mailing Address4008 Sw 27th StWest Park, FL 33023-4468 · (954) 864-4511

Phone(954) 864-4511

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 25, 2022

NPPES CertifiedOctober 25, 2022

✔ NPI 1124745617 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 FL · SA20870

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.

4008 SW 27TH ST, West Park, FL 33023

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanese Campbell Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032604368

PECOS Enrollment IDI20251223003591

Other Providers at the Same Location NPPES

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

NEW HORIZONS SPEECH & LANGUAGE THERAPY, LLC

Speech-Language Pathologist

4008 SW 27TH ST
WEST PARK, FL 33023

Broward County (954) 864-4511

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 Shanese Campbell's NPI number?

The NPI number for Shanese Campbell is 1124745617. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Where is Shanese Campbell located?

Shanese Campbell practices at 4008 SW 27th St, West Park, FL 33023. The listed phone number is (954) 864-4511.

What is Shanese Campbell's specialty?

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

Is Shanese Campbell enrolled in Medicare?

Yes. Shanese Campbell is registered in the Medicare PECOS enrollment system.

What insurance does Shanese Campbell accept?

Health plans from Blue Cross and Blue Shield of Texas list Shanese Campbell 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 Shanese Campbell was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.