MS. SHANE RENEE RUSSELL (MS CCC-SLP) – Speech-Language Pathologist, NPI 1548361850

Speech-Language Pathologist

MS. SHANE RENEE RUSSELL (MS CCC-SLP) is a healthcare provider. based in Lake city, Florida. specializing in Speech-Language Pathologist. They hold the professional credentials MS CCC-SLP. They hold a License No. SA7504 (FL). The NPI Number for MS. SHANE RENEE RUSSELL (MS CCC-SLP) is 1548361850

Main info

Female

Sole Proprietor

Name

MS. SHANE RENEE RUSSELL (MS CCC-SLP)

NPI

1548361850

Phone

(386) 752-3274

Address

247 SW LONG LEAF DR

Enumeration Date

26 September 2006

Last Update Date

9 July 2007

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MS. SHANE RENEE RUSSELL (MS CCC-SLP)

247, Southwest Long Leaf Drive, Lake City, Columbia County, Florida, 32024, United States
LAKE CITY, FL 320244241
Phone: (386) 752-3274
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32024)

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Reviews

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Frequently asked questions

What federal number belongs to MS. SHANE RENEE RUSSELL (MS CCC-SLP)?

The federal identifier for MS. SHANE RENEE RUSSELL (MS CCC-SLP) is NPI 1548361850.

Is MS. SHANE RENEE RUSSELL (MS CCC-SLP)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

Does MS. SHANE RENEE RUSSELL (MS CCC-SLP) list a primary specialty?

If you are matching referrals, note Speech-Language Pathologist for MS. SHANE RENEE RUSSELL (MS CCC-SLP). Clinical services aligned with this taxonomy classification.

Where does public data place MS. SHANE RENEE RUSSELL (MS CCC-SLP)?

The snapshot lists Lake City, Florida for MS. SHANE RENEE RUSSELL (MS CCC-SLP); download NPPES for the complete set.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.