MEDICARE: MS. SHANNON R. BASSETT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	P7974	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083774756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHANNON R. BASSETT

Provider Business Mailing Address
First Line	:	3515 SWEETGUM LN
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72764-6614
Country	:	US
Telephone Number	:	479-790-9580
Fax Number	:

Provider Business Practice Location Address
First Line	:	5305 W VILLAGE PKWY STE 9
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8116
Country	:	US
Telephone Number	:	479-401-2077
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	01/11/2017

Similar Medicare Providers

1891385092 — DR. RYLAND WEUM DC
Practice Location Address:

5305 W VILLAGE PKWY STE 12
ROGERS, AR
72758-8116

Practice Phone: 479-405-4015
Practice Fax:

1578780946 — MR. THOMAS ELIAS CUNNINGHAM APRN
Practice Location Address:

5305 W VILLAGE PKWY STE 12
ROGERS, AR
72758-8116

Practice Phone: 479-480-4892
Practice Fax:

1811166226 — MRS. KELLIE L PAXTON S.L.P.
Practice Location Address:

5305 VILLAGE PKWY STE 1
ROGERS, AR
72758-8116

Practice Phone: 479-387-4796
Practice Fax:

1285033621 — DR. JOHN DAVID WILLIAMS DDS
Practice Location Address:

5305 W VILLAGE PKWY STE 12
ROGERS, AR
72758-8116

Practice Phone: 479-845-7250
Practice Fax: 479-845-7259

1679955926 — NWA PREMIER COUNSELING
Practice Location Address:

5305 W VILLAGE PKWY STE 8
ROGERS, AR
72758-8116

Practice Phone: 479-531-4057
Practice Fax:

1982050308 — BASSETT SPEECH PATHOLOGY LLC
Practice Location Address:

5305 W VILLAGE PKWY STE 9
ROGERS, AR
72758-8116

Practice Phone: 479-401-2077
Practice Fax:

Directions to “ MS. SHANNON R. BASSETT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.