SHANNON MARIE KELLY SLP
NPI 1679084172
Speech-Language Pathologist in Waco, TX

Q: What is Shannon Kelly's NPI number?

The NPI number for Shannon Kelly is 1679084172. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Q: What is Shannon Kelly'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 Kelly was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 24, 2017

900 WASHINGTON AVE STE 602, WACO, TX 76701(254) 296-9792 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Oct 24, 2017 (2 updates tracked since 2017).

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About Shannon Marie Kelly Slp NPPES

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

SHANNON MARIE KELLY SLP (NPI 1679084172) is an individual speech-language pathologist provider in Waco, Texas, licensed in Texas (113034) and active in the NPI registry since October 2017. She maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1679084172

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSHANNON MARIE KELLYCredential: SLP

Location Address900 WASHINGTON AVE STE 602Waco, TX 76701-1283

Mailing Address900 Washington Ave Ste 602Waco, TX 76701-1283

Phone(254) 296-9792

Sole ProprietorNo

Enumeration DateOctober 24, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1679084172 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 TX · 113034

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.

900 WASHINGTON AVE STE 602, Waco, TX 76701

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Secondary Practice Location 1

Location 14300 Sigma RdDallas, TX 75244-4422 · Phone (972) 630-6369

Other Providers at the Same Location NPPES 20

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

SABRINA MACIEL

Speech-Language Pathologist