Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Anna Rudemiller Shadid, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1063904001

Miss. Anna Rudemiller Shadid, MS, CCC-SLP is a Speech-Language Pathologist in Cordova, Tennessee. Licensed in Arkansas and Tennessee. Registered with an NPI since 2018.

Licensed in
AR, TN
In the registry since
2018
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

146 Timber Creek Dr Ste 101
Cordova, TN 38018-4396
Phone: (704) 779-8933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 6761 (TN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 200083 (AR)

Record details

NPI number1063904001
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

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