Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164682209 Individual Practitioner Female Practitioner

Shannon Medina

Speech-Language Pathologist • West Fork, AR

Professional Overview & Biography Verified Profile Summary

Shannon Medina is a registered healthcare professional specializing in Speech-Language Pathologist in West Fork, AR. Practice services are available at 363 MCKNIGHT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

363 Mcknight Ave

West Fork, AR 727740000

Telephone 4798393035
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in West Fork, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
15 Specialists

Practicing in West Fork, AR (3707 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AR SP1338

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Maria Ball

Occupational Therapist

NPI 1023272374
Annette Goll

Speech-Language Pathologist

NPI 1033369913
Katie Jo Van Zee , OT-A

Occupational Therapy Assistant

NPI 1174828974

OTA

Donna Sorters

Speech-Language Pathologist

NPI 1528215191
Lauren Lichty

Physical Therapist - Pediatrics

NPI 1609488014
Alex Clark

Speech-Language Pathologist

NPI 1639721426

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2011

Registered at 363 MCKNIGHT AVE, WEST FORK, AR 727740000 (Tel: 4798393035)

📍
Updated Business Mailing Address April 18, 2011

Registered at 11607 CLUB HOUSE PKWY, FARMINGTON, AR 727308775

👤
Provider Name / Credentials Updated April 18, 2011

Recorded as SHANNON MEDINA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2011

Speech-Language Pathologist (License #SP1338 in AR)

🟢
Initial NPI Registration & Enumeration June 12, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1164682209
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2008
Last Update: April 18, 2011
Sole Proprietor: Yes

Mailing Address

11607 Club House Pkwy

Farmington, AR 727308775

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.