SHANNON LYNN TUCKER (NPI# 1346322112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346322112 |
| Entity Type | Individual |
| Full Name | SHANNON LYNN TUCKER |
| Credential | M.A., CCC-SLP |
| Practice Address |
210 E Woodlawn Rd Suite 150 Charlotte NC 28217-2202 |
| Practice Telephone | 7045238027 |
| Practice Fax Number | 7045238031 |
| Mailing Telephone | 7045238027 |
| Mailing Fax Number | 7045238031 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 4977 | NC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7411674 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972165926 | Shannon D Tucker | Case Manager/Care Coordinator | 1921 Ransom Pl, Nashville, TN 37217-3841 | 2019-06-30 |
| 1184102642 | Shannon E Tucker | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-06 |
| 1730575218 | Shannon Tucker | Physician Assistant | 1215 Lee St, Charlottesville, VA 22908-4500 | 2015-04-10 |
| 1386048023 | Shannon L Tucker | Registered Nurse | 3009 N Ballas Rd, Ste 264c, Saint Louis, MO 63131-2322 | 2014-10-09 |
| 1194140517 | Shannon L Tucker | Psychologist | 1 Rapp Rd, Albany, NY 12203 | 2014-02-21 |
| 1174874838 | Shannon Schou Tucker | Counselor | 1776 S Jackson St, Suite 700, Denver, CO 80210-3801 | 2012-09-21 |
| 1073817565 | Shannon Renee Tucker | Counselor | 7777 E Us Highway 66, El Reno, OK 73036-9125 | 2010-12-27 |
| Street Address |
210 E WOODLAWN RD SUITE 150 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28217-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033290085 | Jennifer Campbell Diaz | Speech-Language Pathologist | 210 E Woodlawn Rd, Suite 150, Charlotte, NC 28217-2202 | 2006-10-18 |
| 1184902082 | Rhian Elizabeth Vanderburg | Speech-Language Pathologist | 210 E Woodlawn Rd, Building 6, Suite 150, Charlotte, NC 28217-2226 | 2011-07-26 |
| 1366732455 | Charlotte Speech and Hearing Center | Speech-Language Pathologist | 210 E Woodlawn Rd, Charlotte, NC 28217-2226 | 2011-04-11 |
| 1316131378 | Heather Lyn Yager | Speech-Language Pathologist | 210 E Woodlawn Rd, Suite 150, Charlotte, NC 28217-2202 | 2007-09-04 |
| 1093898389 | William T. Hall | Audiologist-Hearing Aid Fitter | 210 E Woodlawn Rd, Suite 150, Charlotte, NC 28217-2202 | 2006-10-23 |
| 1922189976 | Kristen Thompson Mcavoy | Speech-Language Pathologist | 210 E Woodlawn Rd, Suite 150, Charlotte, NC 28217-2202 | 2006-10-18 |
| 1356422323 | Donna Hutchinson Gardner | Speech-Language Pathologist | 210 E Woodlawn Rd, Suite 150, Charlotte, NC 28217-2202 | 2006-10-18 |
| 1417038472 | Jean Ellen Evans | Audiologist-Hearing Aid Fitter | 210 E Woodlawn Rd, Suite 150, Charlotte, NC 28217-2202 | 2006-10-18 |
| 1861573784 | Lisa J. Tomaszewski | Speech-Language Pathologist | 210 E Woodlawn Rd, Suite 150, Charlotte, NC 28217-2202 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| 1356967749 | Optum Pharmacy 701, LLC | Pharmacy | 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 | 2020-06-22 |
| 1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
| 1275016933 | Zarah Pulfrey | Physician Assistant | Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 | 2018-09-10 |
| 1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
| 1184102048 | Charday Caple | Counselor | 735 Echodale Dr, Charlotte, NC 28217 | 2018-08-02 |
| 1326532250 | Dupont Livery LLC | Non-emergency Medical Transport (VAN) | 4200 S Tryon St, Charlotte, NC 28217 | 2018-06-14 |
| 1891215232 | Lakesha Shamise Welch | Counselor | 5709 South Hampton R., Charlotte, NC 28217 | 2017-06-27 |
| 1245768282 | Allison Harris Lafone | Counselor | 515 Clanton Road, Charlotte, NC 28217 | 2017-06-02 |
| 1619416906 | Charlie Randolph Taylor Jr. | Counselor | 517 Clanton Road, Charlotte, NC 28217 | 2017-02-20 |
| Find all providers in zip 28217 | ||||
| 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 |
|---|---|---|---|---|
| 1396345112 | Good Shepherd Therapy | Speech-Language Pathologist | 10301 Oak Pond Cir, Charlotte, NC 28277-9506 | 2020-10-30 |
| 1922616036 | Mila Therapy Services | Speech-Language Pathologist | 14165 Dunbritton Ln Apt 1312, Charlotte, NC 28277-2452 | 2020-07-15 |
| 1437776309 | Anna Hardison | Speech-Language Pathologist | 9934 Meadowmead Ct, Charlotte, NC 28273-3367 | 2020-06-26 |
| 1063056968 | Susanna Eleanor Wooten | Speech-Language Pathologist | 16147 Lancaster Hwy Ste 130, Charlotte, NC 28277-2051 | 2019-11-04 |
| 1326696345 | Elizabeth Jane Buie | Speech-Language Pathologist | 5928 Winburn Ln, Charlotte, NC 28226-8152 | 2019-09-03 |
| 1053967398 | Marissa Pardini | Speech-Language Pathologist | 101 E Wt Harris Blvd Ste 5100, Charlotte, NC 28262-3485 | 2019-08-13 |
| 1003469008 | Lauren Jane Cownie | Speech-Language Pathologist | 523 Ridgeway Ave Apt 101, Charlotte, NC 28204-0023 | 2019-07-18 |
| 1558914838 | Margaret Thompson Fitzgerald | Speech-Language Pathologist | 1205 S Tryon St Unit 1448, Charlotte, NC 28203-4393 | 2019-07-16 |
| 1386205763 | Alyssa Dudley | Speech-Language Pathologist | 1331 W Morehead St Apt 544, Charlotte, NC 28208-5391 | 2019-06-26 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| Find all providers in CHARLOTTE | ||||
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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.