SHANNON LARSEN (NPI# 1245490044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245490044 |
| Entity Type | Individual |
| Full Name | SHANNON LARSEN |
| Practice Address |
625 Stevens St Medford OR 97504-6719 |
| Practice Telephone | 5418641872 |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2008-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 12409 | OR | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137899 | Shannon Marie Larsen | Counselor | 3600 Meridian St, Bellingham, WA 98225-1756 | 2020-06-08 |
| 1710235650 | Shannon Jean Larsen | Counselor | 140 South Holly Street, Medford, OR 97501 | 2012-08-27 |
| Street Address |
625 STEVENS ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865015 | Karen Tresser Kahn | Family Medicine | 625 Stevens St, Medford, OR 97504-6719 | 2005-07-18 |
| 1699384172 | Taylor Elizabeth Hall | Occupational Therapist | 625 Stevens St, Medford, OR 97504-6719 | 2020-07-30 |
| 1386174696 | Molly Mccune | Speech-Language Pathologist | 625 Stevens St, Medford, OR 97504-6719 | 2017-06-19 |
| 1689103350 | Emily Romdenne | Physical Therapy Assistant | 625 Stevens St, Medford, OR 97504-6719 | 2017-06-07 |
| 1962879288 | Kyla Defranco | Occupational Therapy Assistant | 625 Stevens St, Medford, OR 97504-6719 | 2015-08-24 |
| 1659753374 | Karen Ann Kralik | Physical Therapy Assistant | 625 Stevens St, Medford, OR 97504-6719 | 2015-06-18 |
| 1376950238 | Summer Parker | Occupational Therapy Assistant | 625 Stevens St, Medford, OR 97504-6719 | 2014-07-11 |
| 1144634049 | Jenna Moskow | Physical Therapy Assistant | 625 Stevens St, Medford, OR 97504-6719 | 2014-06-18 |
| 1780096453 | Erin Enright | Physical Therapy Assistant | 625 Stevens St, Medford, OR 97504-6719 | 2014-05-28 |
| 1043630205 | John Peterson | Physical Therapy Assistant | 625 Stevens St, Medford, OR 97504-6719 | 2014-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083233167 | Nicole Williams | Speech-Language Pathologist | 36 Hamilton St # 1, Medford, MA 02155-4208 | 2020-04-09 |
| 1245868140 | Ny Speaks | Speech-Language Pathologist | 46 Syracuse Ave, Medford, NY 11763-3621 | 2020-03-28 |
| 1043850597 | Lindsey Megan Geil | Speech-Language Pathologist | 3217 Auburn Way, Medford, OR 97504-5704 | 2020-01-13 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1467938498 | Lauren Wavra | Speech-Language Pathologist | 2805 Billy Ct, Medford, NY 11763-2100 | 2018-07-12 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1013369479 | Kaitlyn Trepiccione | Speech-Language Pathologist | 220 Kettles Ln, Medford, NY 11763-1555 | 2016-07-11 |
| 1699122614 | Amanda Elizabeth Kearns | Speech-Language Pathologist | 160 Oregon Ave, Medford, NY 11763-3227 | 2016-05-19 |
| 1528430428 | Lauren Catherine Intravia | Speech-Language Pathologist | 9a Quincy St, Medford, MA 02155-5204 | 2015-10-30 |
| 1073999421 | Alice Jeske | Speech-Language Pathologist | 106 N Central Ave, Medford, OR 97501-5926 | 2015-08-08 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.