Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255217899 Individual Practitioner Female Practitioner

Shanna Bond Raynor

Speech-Language Pathologist • Wallace, NC

Professional Overview & Biography Verified Profile Summary

Shanna Raynor is a registered healthcare professional specializing in Speech-Language Pathologist in Wallace, NC. Practice services are available at 112 MEDICAL VILLAGE DR STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

112 Medical Village Dr Ste A

Wallace, NC 284661665

Telephone 9102990700
Fax 9102990800
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Wallace, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Wallace, NC (7242 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: 2025-08-11
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NC 30003974

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

29 Associated Practitioners
Kelsey Graber

Occupational Therapist

NPI 1003663519
Molly White , MS, CCC, SLP

Speech-Language Pathologist

NPI 1013596832

Master of Science, Certificate of Clinical Competence, Speech-Language Pathologist

Paige Lewis , MS, CCC, SLP

Speech-Language Pathologist

NPI 1063093250

Master of Science, Certificate of Clinical Competence, Speech-Language Pathologist

Chasity Poplin

Specialist/Technologist - Speech-Language Assistant

NPI 1104099795
Yvonne Linn

Specialist/Technologist - Speech-Language Assistant

NPI 1144493735
Liza Jackson , MPT

Physical Therapist

NPI 1194252486

Master of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 11, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2025

Registered at 112 MEDICAL VILLAGE DR STE A, WALLACE, NC 284661665 (Tel: 9102990700)

📍
Updated Business Mailing Address August 11, 2025

Registered at PO BOX 1414, CLINTON, NC 283291414 (Tel: 9102990700)

👤
Provider Name / Credentials Updated August 11, 2025

Recorded as SHANNA RAYNOR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2025

Speech-Language Pathologist (License #30003974 in NC)

🟢
Initial NPI Registration & Enumeration August 11, 2025

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: 1255217899
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2025
Last Update: August 11, 2025
Sole Proprietor: No

Mailing Address

Po Box 1414

Clinton, NC 283291414

Phone: 9102990700

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.