MS. SHANE RENEE RUSSELL MS CCC-SLP
NPI 1548361850
Speech-Language Pathologist in Lake City, FL

Q: What is Shane Russell's NPI number?

The NPI number for Shane Russell is 1548361850. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Shane Russell'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 Shane Russell was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 26, 2006

247 SW LONG LEAF DR, LAKE CITY, FL 32024(386) 752-3274 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Shane Renee Russell Ms Ccc-slp NPPES

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

MS. SHANE RENEE RUSSELL MS CCC-SLP (NPI 1548361850) is an individual speech-language pathologist provider in Lake City, Florida, licensed in Florida (SA7504) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1548361850

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMS. SHANE RENEE RUSSELLCredential: MS CCC-SLP

Location Address247 SW LONG LEAF DRLake City, FL 32024-4241

Mailing Address247 Sw Long Leaf DrLake City, FL 32024-4241 · (386) 752-3274

Phone(386) 752-3274

Sole ProprietorYes

Enumeration DateSeptember 26, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1548361850 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 · SA7504

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.

247 SW LONG LEAF DR, Lake City, FL 32024

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Other Identifiers 1

Medicaid89142810000FL

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 Shane Russell's NPI number?

The NPI number for Shane Russell is 1548361850. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Shane Russell located?

Shane Russell practices at 247 SW Long Leaf Dr, Lake City, FL 32024. The listed phone number is (386) 752-3274.

What is Shane Russell'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 Shane Russell was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.