Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285140962 Individual Practitioner Female Practitioner

Shannon Richele Weller , MA

Speech-Language Pathologist • Islip, NY

Professional Overview & Biography Verified Profile Summary

Shannon Weller, MA is a registered healthcare professional specializing in Speech-Language Pathologist in Islip, NY. Practice services are available at 252 ISLIP AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

252 Islip Ave

Islip, NY 117513029

Telephone 6315816800
Associated Practice Facility / Clinic
🏢 Kids In Action Of L.i. Inc. Facility NPI 1366596579

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Islip, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
38 Specialists

Practicing in Islip, NY (25106 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

CMS Verified: 2025-11-14
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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.

Secondary Practice Locations

2501 Milburn Ave

Baldwin, NY 115103628

Phone: 5163774200

Practice Associates & Co-Workers

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

40 Associated Practitioners
Nicole Fusco , MA, CCC-SLP, TSSLD

Speech-Language Pathologist

NPI 1013264746

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence), TSSLD

Janine Pettit

Specialist

NPI 1063259836
Christine Sokol

Speech-Language Pathologist

NPI 1073669222
Lisa Griffiths

Specialist

NPI 1104345057
Heather Keach

Specialist

NPI 1114068657
NPI 1114167525

Master of Science in Education

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address November 14, 2025

Registered at 252 ISLIP AVE, ISLIP, NY 117513015

👤
Provider Name / Credentials Updated November 14, 2025

Recorded as SHANNON WELLER, MA

NPI Profile Active December 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2017

Registered at 252 ISLIP AVE, ISLIP, NY 117513029 (Tel: 6315816800)

📍
Updated Business Mailing Address December 18, 2017

Registered at 252 ISLIP AVE, ISLIP, NY 117513029

👤
Provider Name / Credentials Updated December 18, 2017

Recorded as SHANNON GAROFOLA, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2017

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration December 18, 2017

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: 1285140962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2017
Last Update: November 14, 2025
Sole Proprietor: Yes

Mailing Address

252 Islip Ave

Islip, NY 117513015

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.