Shanese Campbell, CCC-SLP
NPI 1124745617 · Speech-Language Pathologist · West Park, FL
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shanese Campbell, CCC-SLP is a Speech-Language Pathologist provider in West Park, FL (NPI 1124745617).
Provider details
- NPI number
- 1124745617
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- SA20870 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-10-25
- Last updated
- 2022-10-25
- Certified
- 2022-10-25
Frequently asked questions
- What is Shanese Campbell's NPI number?
- Shanese Campbell's National Provider Identifier (NPI) is 1124745617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shanese Campbell's specialty?
- Shanese Campbell is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Shanese Campbell located?
- Shanese Campbell's practice location on file with NPPES is 4008 Sw 27th St, West Park, FL 33023-4468.
- What is Shanese Campbell's phone number?
- The practice phone number listed in the NPPES registry for Shanese Campbell is (954) 864-4511.
- Does Shanese Campbell accept Medicare?
- Shanese Campbell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shanese Campbell's NPI active?
- Yes — Shanese Campbell's NPI (1124745617) is active in the NPPES registry as of the last update on 2022-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.