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Deactivated NPI 1730714619 Deactivated / Inactive NPI Female Practitioner

Shannon M Boyd , MS CCC-SLP

Speech-Language Pathologist • Alton, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shannon Boyd has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 11, 2020
NPI Deactivation Date February 14, 2022
Total Practice Duration ~2 Years of Practice (2020 – 2022)

Professional Overview & Biography Verified Profile Summary

Shannon Boyd, MS CCC-SLP was a registered Speech-Language Pathologist practicing in Alton, IL. Throughout an active medical career spanning 2 years, Shannon Boyd provided care at the practice location at 1035 WASHINGTON AVE until profile deactivation on 2022-02-14.

Practice Location & Contact Primary Location

Practice Address

1035 Washington Ave

Alton, IL 620022802

Telephone 6184632130

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Alton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
33 Specialists

Practicing in Alton, IL (10321 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 IL 146015082

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

1 Associated Practitioners
Brianna Hatfield

Speech-Language Pathologist

NPI 1487485165

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 14, 2022

Record deactivated on February 14, 2022

NPI Profile Active March 11, 2020

NPI status registered as active in NPPES database

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Updated Practice Location March 11, 2020

Registered at 1035 WASHINGTON AVE, ALTON, IL 620022802 (Tel: 6184632130)

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Updated Business Mailing Address March 11, 2020

Registered at 1035 WASHINGTON AVE, ALTON, IL 620022802 (Tel: 6184632130)

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Provider Name / Credentials Updated March 11, 2020

Recorded as SHANNON BOYD, MS. CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2020

Speech-Language Pathologist (License #146015082 in IL)

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Initial NPI Registration & Enumeration March 11, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730714619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 11, 2020
Last Update: March 11, 2020
Deactivation Date: February 14, 2022

Mailing Address

1035 Washington Ave

Alton, IL 620022802

Phone: 6184632130

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.