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Shannon Laura Dalley , MACCCSLP

Speech-Language Pathologist β€’ Surprise, AZ

Active NPI 1699800508 Individual Practitioner Female Practitioner
Practice location in NPPES

17679 W Tasha Dr
Surprise, AZ 853881770

Call 6232620092 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

17679 W Tasha Dr

Surprise, AZ 853881770

Telephone 6232620092

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shannon Dalley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Surprise and Arizona

109 active clinicians are listed under Speech-Language Pathologist with a practice address in Surprise, AZ (4,557 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Surprise

0% of these 109 clinicians have the CMS telehealth indicator.

0.9% of these 109 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AZ SLP5074

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Speech Language Pathologi
123566 (AZ)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20200102002475

Enrollment State Jurisdiction

AZ

PECOS Control ID

1951735711

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active April 26, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location April 26, 2017

Registered at 17679 W TASHA DR, SURPRISE, AZ 853881770 (Tel: 6232620092)

πŸ“
Updated Business Mailing Address April 26, 2017

Registered at 17679 W TASHA DR, SURPRISE, AZ 853881770 (Tel: 6232620092)

πŸ‘€
Provider Name / Credentials Updated April 26, 2017

Recorded as SHANNON DALLEY, MACCCSLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2017

Speech-Language Pathologist (license number reported to NPPES: AZ SLP5074)

βœ…
NPI Profile Active May 04, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 04, 2012

Registered at 9008 W CHARLESTON AVE, PEORIA, AZ 853828107 (Tel: 6232620092)

πŸ“
Business Mailing Address (Initial Record) May 04, 2012

Registered at 9008 W CHARLESTON AVE, PEORIA, AZ 853828107 (Tel: 6232620092)

πŸ‘€
Provider Name / Credentials (Initial Record) May 04, 2012

Recorded as SHANNON STILLWELL, MACCCSLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2012

Speech-Language Pathologist (license number reported to NPPES: AZ SLP5074)

🟒
Initial NPI Registration & Enumeration February 22, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699800508
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2007
Last Update: April 26, 2017
Sole Proprietor: No

Mailing Address

17679 W Tasha Dr

Surprise, AZ 853881770

Phone: 6232620092

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.