MRS. SHANNA HEADLEY DAVIS (NPI# 1568445708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568445708 |
| Entity Type | Individual |
| Full Name | MRS. SHANNA HEADLEY DAVIS |
| Other Name | MISS SHANNA RENEE HEADLEY |
| Credential | MS CCC SLP |
| Practice Address |
1700 Midway Rd Menasha WI 54952-1230 |
| Practice Telephone | 4062239241 |
| Mailing Telephone | 4062239241 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 3872 | WI | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 1203 | MT | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787870 | Shanna Anita Davis | Licensed Practical Nurse | 2855 Lawrenceville Suwanee Rd Ste 310-330, Suwanee, GA 30024-3563 | 2020-10-12 |
| 1720569304 | Shanna M Davis | Physical Therapist | 1420 Mccreary Rd, Wylie, TX 75098-8776 | 2018-08-22 |
| 1821580218 | Shanna Marie Davis | Registered Nurse | 2000 S Summit Ave, Sioux Falls, SD 57105-2727 | 2018-06-01 |
| 1821527458 | Shanna C. Davis | Nurse Practitioner | 460 W 10th Ave, Columbus, OH 43210-1240 | 2017-06-07 |
| 1922557966 | Shanna Davis | Counselor | 1717 Marshall St, Shreveport, LA 71101-4139 | 2016-10-03 |
| 1447563358 | Shanna Leigh Davis | Specialist/Technologist | 1004 Health Center Dr, Mattoon, IL 61938-9253 | 2010-07-20 |
| Street Address |
1700 MIDWAY RD |
| City | MENASHA |
| State | WI |
| Zip Code | 54952-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804958 | Oakridge Gardens Nursing Center, Inc. | Skilled Nursing Facility | 1700 Midway Rd, Menasha, WI 54952-1230 | 2005-07-13 |
| 1790307874 | Heidi Ann Duxbury | Occupational Therapy Assistant | 1700 Midway Rd, Menasha, WI 54952-1230 | 2020-05-12 |
| 1013545219 | Carly Meyer | Occupational Therapist | 1700 Midway Rd, Menasha, WI 54952-1230 | 2020-04-01 |
| 1003442443 | Cassie Blair | Occupational Therapy Assistant | 1700 Midway Rd, Menasha, WI 54952-1230 | 2020-03-17 |
| 1952958357 | Allison M Bluhm | Occupational Therapist | 1700 Midway Rd, Menasha, WI 54952-1230 | 2019-08-20 |
| 1184282485 | Dayne John Marlenga | Physical Therapy Assistant | 1700 Midway Rd, Menasha, WI 54952-1230 | 2019-05-31 |
| 1316401185 | Mai See Ehlert | Occupational Therapy Assistant | 1700 Midway Rd, Menasha, WI 54952-1230 | 2019-01-25 |
| 1821579590 | Paul Mccarty | Physical Therapy Assistant | 1700 Midway Rd, Menasha, WI 54952-1230 | 2018-08-22 |
| 1558856757 | Ruth Anne Pifer | Physical Therapist | 1700 Midway Rd, Menasha, WI 54952-1230 | 2018-06-29 |
| 1861998551 | Danielle Grall | Occupational Therapist | 1700 Midway Rd, Menasha, WI 54952-1230 | 2018-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275776239 | Sharon Louise Crowe | Dental Hygienist | 1814 North Appleton Road, Menasha, WI 54952 | 2009-04-07 |
| 1003056110 | Nicole Marie Guyette | Dental Hygienist | 814 N. Appleton Road, Menasha, WI 54952 | 2009-03-02 |
| 1760627624 | Jan Charles Sarnecki | Orthopaedic Surgery | 1814 N. Appleton Road, Menasha, WI 54952 | 2008-12-08 |
| 1588828297 | Lesley R Lathrop | Registered Nurse | 1764 Oakridge Court, Menasha, WI 54952 | 2008-07-11 |
| 1699965137 | Lisa Randerson | Counselor | 1427c Province Terrace, Menasha, WI 54952 | 2007-07-31 |
| 1689748675 | Lisa Lynn Lang Riegel | Dentist | 1155 Wittman Drive, Menasha, WI 54952 | 2006-11-20 |
| 1164596144 | Robert Charles Lang | Dentist | 1155 Wittmann Drive, Menasha, WI 54952 | 2006-11-20 |
| 1366527947 | Karen Patricia Schmidt | Case Manager/Care Coordinator | 1810 Appleton Road, Menasha, WI 54952 | 2006-10-25 |
| 1376647388 | Goodwill Industries of North Central Wi | Counselor | 1800 Appleton Road, Menasha, WI 54952 | 2006-09-11 |
| 1386135614 | Leslie J Steckbauer | Counselor | 1095 Midway Rd, Menasha, WI 54952 | 2018-05-22 |
| Find all providers in zip 54952 | ||||
| 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 |
|---|---|---|---|---|
| 1831321835 | Ann D. Heinrich | Speech-Language Pathologist | 3010 S Appleton Rd, Menasha, WI 54952-1751 | 2009-08-10 |
| 1730326729 | Lisa England | Speech-Language Pathologist | W6051 Ryford St, Menasha, WI 54952-8400 | 2009-01-13 |
| 1033259312 | Melissa Jean Plutz | Speech-Language Pathologist | 1800 Appleton Rd, Menasha, WI 54952-3727 | 2007-02-07 |
| 1124391081 | Erin Leigh Hietpas | Speech-Language Pathologist | 1550 Midway Pl, Menasha, WI 54952-1165 | 2012-02-22 |
| 1578779591 | Tina Spellman | Speech-Language Pathologist | 1550 Midway Pl, Menasha, WI 54952-1165 | 2007-05-15 |
| 1639292782 | Jeanette S. Bantamoi | Speech-Language Pathologist | 1550 Midway Pl, Menasha, WI 54952-1165 | 2007-04-06 |
| 1205979523 | Sharon Therese Bonneau | Speech-Language Pathologist | 1800 Appleton Rd, Menasha, WI 54952-3727 | 2007-02-15 |
| 1710020086 | Kelly Marie Lehman | Speech-Language Pathologist | 1800 Appleton Rd, Menasha, WI 54952-3727 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1659972982 | Patricia Theisen | Speech-Language Pathologist | 1515 Greenview Ave, Janesville, WI 53548-2800 | 2020-11-03 |
| 1487254108 | Samantha Lee Roberts | Speech-Language Pathologist | 3311 E Parkside Blvd Apt 125, Appleton, WI 54915-5631 | 2020-10-30 |
| 1134728751 | Mahwish Hashmi | Speech-Language Pathologist | 198 Caraway Pl, Sun Prairie, WI 53590-9537 | 2020-10-23 |
| 1891394508 | Lisa Kay Gaede | Speech-Language Pathologist | 424 River Dr, Black River Falls, WI 54615-9001 | 2020-10-22 |
| 1083213276 | Laura Swenson | Speech-Language Pathologist | 1922 State Road 87, Saint Croix Falls, WI 54024-7937 | 2020-10-20 |
| 1427656453 | Suzanne Q Hamilton | Speech-Language Pathologist | 2304 Hillcrest Dr, Janesville, WI 53545-4318 | 2020-10-12 |
| 1689272841 | Unbridled Abilities, LLC. | Speech-Language Pathologist | 1149 River Ridge Rd, River Falls, WI 54022-3412 | 2020-10-10 |
| 1104423490 | Tresa S Van Roo | Speech-Language Pathologist | W124 Us Highway 10, Mondovi, WI 54755-7837 | 2020-10-08 |
| 1538775531 | Haley Davidson | Speech-Language Pathologist | 960 S Rapids Rd # 4146, Manitowoc, WI 54220-4146 | 2020-09-16 |
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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.