SHANNON MICHELLE KIDD (NPI# 1356439806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356439806 |
| Entity Type | Individual |
| Full Name | SHANNON MICHELLE KIDD |
| Credential | SLP |
| Practice Address |
93 Link Dr Pine Knot KY 42635-9155 |
| Practice Telephone | 6063109795 |
| Practice Fax Number | 6063543537 |
| Mailing Telephone | 6063109795 |
| Mailing Fax Number | 6063543537 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | KY-2595 | KY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508048737 | Shannon M Kidd | Nurse Anesthetist, Certified Registered | 401 Matthew St, Marietta, OH 45750-1635 | 2007-11-29 |
| Street Address |
93 LINK DR |
| City | PINE KNOT |
| State | KY |
| Zip Code | 42635-9155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477168169 | Eleshia Stephenie Sumner | Physician Assistant | 252 Sargent Rd, Pine Knot, KY 42635 | 2020-09-10 |
| 1316938210 | Daughertys Drug Store Inc | Pharmacy | 4160 S Hwy 27, Pine Knot, KY 42635 | 2005-10-31 |
| 1578552048 | Mccreary Health & Rehabilitation Center, LLC | Skilled Nursing Facility | Us 27 & State Highway 592, Pine Knot, KY 42635 | 2005-10-18 |
| 1366703159 | Cumberland Family Clinic, Pllc | Clinic/Center | 57 Hogue Rd, Pine Knot, KY 42635 | 2012-06-07 |
| 1134429772 | James Wesley Murphy | Pharmacist | 4160 S Hwy 27, Pine Knot, KY 42635 | 2010-10-29 |
| 1144691569 | Lp Pine Knot, LLC | Skilled Nursing Facility | U.S. 27 and Highway 592, Pine Knot, KY 42635-0810 | 2015-10-12 |
| 1750691804 | Tonya Lavern Hackler | Case Manager/Care Coordinator | 1069 E Hwy 92, Pine Knot, KY 42635-0956 | 2010-10-07 |
| 1265071724 | Keen Sales Group Inc | Preventive Medicine | 5940 S Highway 1651, Pine Knot, KY 42635-6102 | 2020-01-02 |
| 1295952273 | Tena Louise Jessing | Registered Nurse | 330 Federal Way, Pine Knot, KY 42635-7000 | 2007-04-19 |
| 1720324023 | Usp Mccreary | Clinic/Center | 330 Federal Way, Pine Knot, KY 42635-7000 | 2012-12-14 |
| Find all providers in zip 42635 | ||||
| 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 |
|---|---|---|---|---|
| 1871193185 | Dawn Adair Keyton | Speech-Language Pathologist | 2150 Lexington Rd Ste A&b, Richmond, KY 40475-7924 | 2020-10-27 |
| 1831796788 | D'arcy Belt Ponce | Speech-Language Pathologist | 120 Kathlene Ct, Paducah, KY 42003-9451 | 2020-10-05 |
| 1013522713 | Haley Ready | Speech-Language Pathologist | 1050 E Market St, Louisville, KY 40206-1874 | 2020-09-10 |
| 1518579382 | Timothy Phillip Young | Speech-Language Pathologist | 1015 Burning Springs Cir, Louisville, KY 40223-3654 | 2020-08-21 |
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1932711363 | Ann G Perkins | Speech-Language Pathologist | 1701 Longwood Cir, Goshen, KY 40026-8410 | 2020-08-18 |
| 1275145807 | Logan Kevin Payton | Speech-Language Pathologist | 2801 Adams Avenue, Ashland, KY 41102 | 2020-08-17 |
| 1174132997 | All Smiles Therapy, LLC | Speech-Language Pathologist | 114 W Union Street, Munfordville, KY 42765 | 2020-07-28 |
| 1568070142 | Frontier Medical Associates of Paintsville Inc | Speech-Language Pathologist | 713 Broadway St Ste 301b, Paintsville, KY 41240-1465 | 2020-07-20 |
| 1508483629 | Katelyn Flynt Slone | Speech-Language Pathologist | 115 N Water St Ste 2, Georgetown, KY 40324-1334 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
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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.