Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shanna Anthony

Individual provider Speech-Language Pathologist · NPI 1023739646

Shanna Anthony is a Qualified Speech Language Pathologist in Edwardsburg, Michigan. Qualified in 2021, 5 years ago. Practices with Paragon Outpatient Rehabilitation Services LLC, a 200-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2022

Practice location Address checks out

19361 US Highway 12
Edwardsburg, MI 49112-9229
Phone: (760) 505-2070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22008206A (IN)

Record details

NPI number1023739646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 12, 2022
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address19361 Us Highway 12, Edwardsburg, MI 49112-9229

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Paragon Outpatient Rehabilitation Services Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Edwardsburg