SHANNON MARIE O'LOUGHLIN (NPI# 1336602226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336602226 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE O'LOUGHLIN |
| Other Name | SHANNON WANNAGOT |
| Practice Address |
Crec-soundbridge 123 Progress Drive Wethersfield CT 06109-0610 |
| Mailing Address |
Crec-soundbridge 123 Progress Drive Wethersfield CT 06109-2450 |
| Practice Telephone | 8605294260 |
| Practice Fax Number | 8602578500 |
| Mailing Telephone | 8605294260 |
| Mailing Fax Number | 8602578500 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 000612 | CT | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | LICENSE | 000612 | 01 |
| Street Address |
CREC-SOUNDBRIDGE 123 PROGRESS DRIVE |
| City | WETHERSFIELD |
| State | CT |
| Zip Code | 06109-0610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154884047 | Kaitlyn Desjardin | Audiologist | Crec-soundbridge, 123 Progress Drive, Wethersfield, CT 06109-0610 | 2019-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
| 1336775485 | Lance Morton | Hearing Instrument Specialist | Miracle Ear, 1206 Silas Deane Hwy, Wethersfield, CT 06109 | 2020-03-20 |
| 1780178350 | Bethany Wittman | Audiologist | 988 Silas Deane Highway, Wethersfield, CT 06109 | 2018-06-18 |
| 1659806404 | Lauren M Mcgrath | Physical Therapist | 672 Silas Deane Highway, Wethersfield, CT 06109 | 2017-04-28 |
| 1851824858 | A Plus Senior Home Care LLC | In Home Supportive Care | 183 Clearfield Rd, Wethersfield, CT 06109 | 2017-04-06 |
| 1801270707 | Dr.matthew Carbone Family Chiropractic | Chiropractor | 15 Country Club Rd, Wethersfield, CT 06109 | 2015-07-10 |
| 1629455910 | Melanie Anne Parker | Physical Therapist | 850 Silas Deane Hwy #2, Wethersfield, CT 06109 | 2015-05-06 |
| 1508271875 | Integrated Procare Services | Counselor | 415 Silas Deane Hwy # 401, Wethersfield, CT 06109 | 2014-06-25 |
| 1265867394 | Caregiver Homes of Connecticut, Inc | Custodial Care Facility | 912 Silas Dean Highway - Suite 101, Weathersfield, CT 06109 | 2013-09-09 |
| 1285925651 | Steven Warren Young | Pharmacist | 657 Silas Deane Highway, Rite Aid Pharmacy, Wethersfield, CT 06109 | 2011-04-20 |
| Find all providers in zip 06109 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780178350 | Bethany Wittman | Audiologist | 988 Silas Deane Highway, Wethersfield, CT 06109 | 2018-06-18 |
| 1649523952 | Capitol Region Education Council | Audiologist | 123 Progress Drive, Wethersfield, CT 06109-2450 | 2012-10-24 |
| 1922122902 | Crec Soundbridge | Audiologist | 123 Progress Dr, Wethersfield, CT 06109-2450 | 2007-03-16 |
| 1689223513 | Olivia Dewald | Audiologist | 123 Progress Dr, Wethersfield, CT 06109-2450 | 2019-09-04 |
| 1083260855 | Connecticut Hearing Center | Audiologist | 988 Silas Deane Hwy, Wethersfield, CT 06109-4227 | 2019-08-16 |
| 1154884047 | Kaitlyn Desjardin | Audiologist | Crec-soundbridge, 123 Progress Drive, Wethersfield, CT 06109-0610 | 2019-04-09 |
| 1336514355 | Raisa Usifer | Audiologist | 123 Progress Dr, Wethersfield, CT 06109-2450 | 2015-12-02 |
| 1528319423 | Catherine St Laurent | Audiologist | 123 Progress Dr, Wethersfield, CT 06109-2450 | 2012-10-02 |
| 1427309418 | Elaine Carroll | Audiologist | 123 Progress Dr, Wethersfield, CT 06109-2450 | 2012-10-01 |
| 1932450913 | Erika Lee Nair | Audiologist | 123 Progress Dr, Wethersfield, CT 06109-2450 | 2012-10-01 |
| Find all providers in WETHERSFIELD | ||||
| City | WETHERSFIELD |
| Zip Code | 06109 |
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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.