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Active NPI 1114255734 Individual Practitioner Female Practitioner

Shannon Clark

Specialist/Technologist - Speech-Language Assistant • Round Rock, TX

Professional Overview & Biography Verified Profile Summary

Shannon Clark is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Round Rock, TX. Practice services are available at 1208 IH 35 N STE Q under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1208 Ih 35 N Ste Q

Round Rock, TX 786814204

Telephone 5123107665
Fax 5123109228
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Round Rock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Round Rock, TX (3463 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

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License TX 35304

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0944746-02 (TX)
Commercial Insurance / Payer ID Blue Cross Blue Shield
0031DG
Commercial Insurance / Payer ID Tax Id
74-2745294

Practice Associates & Co-Workers

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

40 Associated Practitioners
Christine Marques , MS, CCC-SLP

Speech-Language Pathologist

NPI 1023038213

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

Sarah Karboski

Speech-Language Pathologist

NPI 1043002835
Amy Anderson

Occupational Therapy Assistant

NPI 1063719839
Angela Bernal

Physical Therapy Assistant

NPI 1063764819
Shanna Bisnette

Physical Therapy Assistant

NPI 1104056985
Nelda Carranza

Physical Therapy Assistant

NPI 1114194412

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 19, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2009

Registered at 1208 IH 35 N STE Q, ROUND ROCK, TX 786814204 (Tel: 5123107665)

📍
Updated Business Mailing Address November 19, 2009

Registered at 1208 IH 35 N STE Q, ROUND ROCK, TX 786814204 (Tel: 5123107665)

👤
Provider Name / Credentials Updated November 19, 2009

Recorded as SHANNON CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2009

Specialist/Technologist (License #35304 in TX)

🟢
Initial NPI Registration & Enumeration November 19, 2009

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: 1114255734
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2009
Last Update: November 19, 2009
Sole Proprietor: No

Mailing Address

1208 Ih 35 N Ste Q

Round Rock, TX 786814204

Phone: 5123107665

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.