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Shannon Lorraine Clark

Speech-Language Pathologist β€’ Lowell, MI

Active NPI 1679021448 Individual Practitioner Female Practitioner
Practice location in NPPES

350 N Center St
Lowell, MI 493311212

Call 6168978473 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

350 N Center St

Lowell, MI 493311212

Telephone 6168978473
Organization at the Same NPPES Address or Phone
Laurel Health Care Company Of Lowell Facility NPI 1639124308

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Ada, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

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; 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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lowell and Michigan

3 active clinicians are listed under Speech-Language Pathologist with a practice address in Lowell, MI (3,736 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, 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

Self-certified to NPPES: 2024-06-25
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MI 7101006594

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: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Secondary Practice Locations

5333 Maple Hill Ave Se

Ada, MI 493017717

Phone: 6168283879

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Uchebike Nwankwo , MD

Internal Medicine - Adolescent Medicine

NPI 1962690073

Doctor of Medicine (M.D.)

Dr. David Vigor , MD

Psychiatry & Neurology - Addiction Psychiatry

NPI 1235144940

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location June 25, 2024

Registered at 350 N CENTER ST, LOWELL, MI 493311212 (Tel: 6168978473)

πŸ“
Updated Business Mailing Address June 25, 2024

Registered at 5333 MAPLE HILL AVE SE, ADA, MI 493017717 (Tel: 6168283879)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Speech-Language Pathologist (license number reported to NPPES: MI 7101006594)

πŸ“
Updated Practice Location December 10, 2018

Registered at 2251 E PARIS AVE SE, GRAND RAPIDS, MI 495462431 (Tel: 6164477799)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2018

Speech-Language Pathologist

βœ…
NPI Profile Active September 21, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 21, 2016

Registered at 3502 WILLOWOOD DR, ZEELAND, MI 494648753 (Tel: 6168283879)

πŸ“
Business Mailing Address (Initial Record) September 21, 2016

Registered at 3502 WILLOWOOD DR, ZEELAND, MI 494648753 (Tel: 6168283879)

πŸ‘€
Provider Name / Credentials (Initial Record) September 21, 2016

Recorded as SHANNON CLARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2016

Technician, Other

🟒
Initial NPI Registration & Enumeration September 21, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679021448
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2016
Last Update: June 25, 2024
Sole Proprietor: No

Mailing Address

5333 Maple Hill Ave Se

Ada, MI 493017717

Phone: 6168283879

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.