SHANNON CAMPBELL (NPI# 1538783733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538783733 |
| Entity Type | Individual |
| Full Name | SHANNON CAMPBELL |
| Practice Address |
42 Winter St Ste 25 Pembroke MA 02359-4958 |
| Practice Telephone | 7813356663 |
| Mailing Telephone | 7813356663 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 77632 | MA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414200 | Shannon Kohlenberg Campbell | Social Worker | 5562 Mesa Verde Ct, Fort Worth, TX 76137-4438 | 2019-12-13 |
| 1982248068 | Shannon M Campbell | Day Training/Habilitation Specialist | 1126 Lafayette Dr Ne, Albuquerque, NM 87106-1904 | 2019-11-01 |
| 1780050419 | Shannon Campbell | Registered Nurse | 700 Charlestown Rd, Springfield, VT 05156-4400 | 2015-08-17 |
| 1538507439 | Shannon Campbell | Counselor | 4274 Nottingham Way, Hamilton, NJ 08690-3825 | 2013-06-13 |
| 1225376395 | Shannon Diane Campbell | Specialist/Technologist | 4609 W Banff Ln, Glendale, AZ 85306-3607 | 2013-01-24 |
| 1407013550 | Shannon Marie Campbell | Dentist | 31450 W Seven Mile Road, Suite 109, Livonia, MI 48152-1375 | 2008-05-16 |
| 1801855440 | Shannon D Campbell | Specialist/Technologist | 1114 9th Ave, Lewiston, ID 83501-2659 | 2006-03-22 |
| 1568081248 | Shannon Campbell | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-13 |
| 1740826494 | Shannon P Campbell | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2019-11-18 | |
| 1598318016 | Shannon Campbell | Physical Therapist | 500 W Grant St, Lake City, MN 55041-1143 | 2019-07-23 |
| Street Address |
42 WINTER ST STE 25 |
| City | PEMBROKE |
| State | MA |
| Zip Code | 02359-4958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639486681 | Amy M O'connor | Occupational Therapist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2010-09-10 |
| 1205435559 | Dana Simons | Occupational Therapist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2020-10-19 |
| 1750990784 | Theresa Zeoli | Speech-Language Pathologist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2020-07-27 |
| 1427670058 | Allison Minsky | Speech-Language Pathologist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2020-05-18 |
| 1831725571 | Julie Salters | Speech-Language Pathologist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2020-03-13 |
| 1740814888 | Lauren Cleary | Occupational Therapist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2020-02-27 |
| 1073151924 | Katherine Mullaney | Speech-Language Pathologist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2019-12-11 |
| 1699311266 | Jacklyn Gurry | Occupational Therapist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2019-11-19 |
| 1689218737 | Diana Cavicchi | Occupational Therapist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2019-11-01 |
| 1689114548 | Alexis Kimmelman | Occupational Therapist | 42 Winter St Ste 25, Pembroke, MA 02359-4958 | 2017-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294559 | Timothy Clynch | Nurse Practitioner | 296 Old Oak St, Pembroke, MA 02359 | 2020-01-07 |
| 1457902892 | Convenientmd LLC | Clinic/Center | 296 Old Oak Street, Pembroke, MA 02359 | 2019-09-26 |
| 1578126298 | Snezhana Voynova | Nurse Practitioner | Harbor Medical Associates, 15 Corporate Park Drive, Pembroke, MA 02359 | 2019-04-18 |
| 1669943452 | Rachel Elizabeth Fletcher | Counselor | Pembroke Partial Hospital Program, 20 Winter Street, Pembroke, MA 02359 | 2018-12-06 |
| 1780116236 | Annmarie Cummings | Behavioral Analyst | 15 Furnace Lane, Pembroke, MA 02359 | 2017-04-03 |
| 1558659680 | Rachel S Cohen | Social Worker | 20 Winter Street, Pembroke, MA 02359 | 2011-07-11 |
| 1659552974 | Kirsten Leah Evans | Registered Nurse | 7 Bartlett St, Pembroke, MA 02359 | 2007-11-15 |
| 1154516862 | Timothy A Kaufman | Physical Therapist | 31 Schoosett Street, Suite 300, Pembroke, MA 02359 | 2007-09-06 |
| 1912128463 | Mary A Marek | Social Worker | 2 Columibia Road, Pembroke, MA 02359 | 2007-05-01 |
| 1437287448 | Frederick James White Jr. | Dentist | 19a Mattakeesett St, Pembroke, MA 02359 | 2007-03-01 |
| Find all providers in zip 02359 | ||||
| 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 |
|---|---|---|---|---|
| 1306444872 | Melissa Bourgoin | Speech-Language Pathologist | 715 Riverwood Dr, Pembroke, NH 03275-3701 | 2020-10-15 |
| 1528684495 | Tamra Lowry | Speech-Language Pathologist | 2600 St Anna Rd, Pembroke, NC 28372-8420 | 2020-06-17 |
| 1144841131 | Kimberly Ann Gillis | Speech-Language Pathologist | 300 Belanger Dr, Pembroke, NH 03275-3258 | 2020-04-30 |
| 1093137465 | Holly Marcotte | Speech-Language Pathologist | 212 Pembroke Hill Rd, Pembroke, NH 03275-3225 | 2014-01-20 |
| 1235490798 | Speechfundamentals Pllc | Speech-Language Pathologist | 113 Vance St, Pembroke, NC 28372-4505 | 2012-05-31 |
| 1851535942 | Janet Gail Cummings-locklear | Speech-Language Pathologist | 4151 Prospect Rd, Pembroke, NC 28372-8400 | 2009-04-21 |
| 1487802591 | Crystal L Fedor | Speech-Language Pathologist | 609 East Third Street, Pembroke, NC 28372-2842 | 2008-09-03 |
| 1891961553 | Roberta Ann Woodell | Speech-Language Pathologist | 2872 Union Chapel Rd, Pembroke, NC 28372-8400 | 2008-05-02 |
| 1447424171 | Shelley Hill Payne | Speech-Language Pathologist | 1600 Pembroke Oak Grove Rd, Pembroke, KY 42266-9760 | 2008-04-14 |
| 1851905632 | Jessica Roth | Speech-Language Pathologist | 209 Academy Rd, Pembroke, NH 03275-1345 | 2020-08-31 |
| Find all providers in PEMBROKE | ||||
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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.