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SHANNON MEDINA
NPI 1164682209
Speech-Language Pathologist in West Fork, AR

Active since June 12, 2008
363 MCKNIGHT AVE, WEST FORK, AR 72774(479) 839-3035 Get Directions Write a Review

NPPES record last updated: April 18, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shannon Medina NPPES

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

SHANNON MEDINA (NPI 1164682209) is an individual speech-language pathologist provider in West Fork, Arkansas, licensed in Arkansas (SP1338) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1164682209
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHANNON MEDINA
Location Address363 MCKNIGHT AVEWest Fork, AR 72774-0000
Mailing Address11607 Club House PkwyFarmington, AR 72730-8775
Phone(479) 839-3035
Sole ProprietorYes
Enumeration DateJune 12, 2008
Last NPPES UpdateApril 18, 2011
✔ NPI 1164682209 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 AR · SP1338
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.
363 MCKNIGHT AVE, West Fork, AR 72774
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Other Providers at the Same Location NPPES 8

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

MS. LAURA FAWN PURCELL MPT
Physical Therapist
363 MCKNIGHT AVE
WEST FORK, AR 72774
Washington County (479) 751-3900
DONNA SORTERS
Speech-Language Pathologist
363 MCKNIGHT AVE
WEST FORK, AR 72774
Washington County (479) 839-3035
LAUREN LICHTY
Physical Therapist (Pediatrics)
363 MCKNIGHT AVE
WEST FORK, AZ 72774
Washington County (479) 839-3035
ALEX CLARK
Speech-Language Pathologist
363 MCKNIGHT AVE
WEST FORK, AR 72774
Washington County (479) 839-3035
EMMA GIEZENTANNER
Speech-Language Pathologist
363 MCKNIGHT AVE
WEST FORK, AR 72774
Washington County (479) 839-3035
MARY CURRAN
Occupational Therapy Assistant
363 MCKNIGHT AVE
WEST FORK, AR 72774
Washington County (479) 839-3035
COURTNEY GREEN
Speech-Language Pathologist
363 MCKNIGHT AVE
WEST FORK, AR 72774
Washington County (479) 839-3035
RACHEL HOLLAND
Speech-Language Pathologist
363 MCKNIGHT AVE
WEST FORK, AR 72774
Washington County (479) 839-3035

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 Medina's NPI number?

The NPI number for Shannon Medina is 1164682209. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Shannon Medina located?

Shannon Medina practices at 363 Mcknight Ave, West Fork, AR 72774. The listed phone number is (479) 839-3035.

What is Shannon Medina's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Medina was last updated on April 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.