SHANNON LANDGRAF (NPI# 1568926921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568926921 |
| Entity Type | Individual |
| Full Name | SHANNON LANDGRAF |
| Practice Address |
3884 Nobel Dr San Diego CA 92122-5700 |
| Practice Telephone | 8586258700 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 13382 | CA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SPEECH LANGUAGE PATHOLOGY | 13382 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124387493 | Shannon Marie Noelani Landgraf | Case Manager/Care Coordinator | 460 Kilauea Avenue Suite 101, Hilo, HI 96720-3084 | 2012-05-08 |
| 1861968299 | Shannon P Landgraf | Physical Therapist | 12468 Saint Charles Rock Rd, Bridgeton, MO 63044-2506 | 2018-10-24 |
| Street Address |
3884 NOBEL DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92122-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871546887 | Fountains La Jolla Sl, LLC | Skilled Nursing Facility | 3884 Nobel Dr, San Diego, CA 92122-5700 | 2006-05-19 |
| 1962967307 | Kristine Schulte | Physical Therapist | 3884 Nobel Dr, San Diego, CA 92122-5700 | 2019-02-08 |
| 1962973008 | Brittany Marvin | Physical Therapist | 3884 Nobel Dr, San Diego, CA 92122-5700 | 2018-12-16 |
| 1710421342 | Peter Belvis | Physical Therapy Assistant | 3884 Nobel Dr, San Diego, CA 92122-5700 | 2016-12-16 |
| 1255875332 | Latonia Richardson | Occupational Therapy Assistant | 3884 Nobel Dr, San Diego, CA 92122-5700 | 2016-12-08 |
| 1326581968 | Shayna Wachendorf | Physical Therapy Assistant | 3884 Nobel Dr, San Diego, CA 92122-5700 | 2016-11-30 |
| 1376086918 | Kenneth Sirota | Occupational Therapy Assistant | 3884 Nobel Dr, San Diego, CA 92122-5700 | 2016-11-30 |
| 1902349533 | Joy Munoz | Physical Therapy Assistant | 3884 Nobel Dr, San Diego, CA 92122-5700 | 2016-11-30 |
| 1447793070 | Edwin Nixon | Physical Therapy Assistant | 3884 Nobel Dr, San Diego, CA 92122-5700 | 2016-11-30 |
| 1083157622 | Jennifer Valle | Physical Therapy Assistant | 3884 Nobel Dr, San Diego, CA 92122-5700 | 2016-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561630 | Neal Yacoo | Pharmacist | 9085 Judicial Drive #2137, San Diego, CA 92122 | 2019-04-29 |
| 1598242828 | Gena Rachel Katzer | Social Worker | 3246 Willard St, San Diego, CA 92122 | 2018-07-19 |
| 1164919791 | Janine Marie Battaglia | Nurse Practitioner | Scripps Health Express, 4350 La Jolla Villlage Drive Ste 130, San Diego, CA 92122 | 2018-04-19 |
| 1669991899 | Lindsay Y Ditmars | Pharmacist | 7545 Charmant Dr. #1322, 1322, San Diego, CA 92122 | 2017-09-19 |
| 1154747103 | Rebecca Jackson | Nurse Practitioner | 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 | 2014-03-14 |
| 1851726582 | Grace Lorelei Allen | Doula | 2728 Nansen Avenue, San Diego, CA 92122 | 2013-09-12 |
| 1427301894 | Barry Katzman, M.d., Inc., Apc | Optometrist | 4413 Lajolla Village Dr., Spc. P1, San Diego, CA 92122 | 2012-10-22 |
| 1912295361 | Yingjian Liang | Psychiatry & Neurology | Gillman Drive 9500, San Diego, CA 92122 | 2011-07-19 |
| 1467775486 | David Michael Trejo | Psychologist | 5080 Shoreham Place, Suite 103, San Diego, CA 92122 | 2010-03-04 |
| 1225369556 | Jeffrey J Abrams | Internal Medicine | 3395 Willard St, San Diego, CA 92122 | 2010-01-27 |
| Find all providers in zip 92122 | ||||
| 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 |
|---|---|---|---|---|
| 1922605898 | Little Rose Speech Therapy, Inc. | Speech-Language Pathologist | 11990 Stoney Peak Dr Apt 1106, San Diego, CA 92128-6481 | 2020-10-05 |
| 1710594122 | Chelsea A Johnson | Speech-Language Pathologist | 325 W Washington St Ste 2-143, San Diego, CA 92103-1946 | 2020-09-29 |
| 1770195083 | Emma Kotsher | Speech-Language Pathologist | 2081 Cable St, San Diego, CA 92107-2573 | 2020-08-18 |
| 1891310165 | Ingrid Wolfer Exerjian | Speech-Language Pathologist | 1844 Malden St, San Diego, CA 92109-2208 | 2020-06-12 |
| 1326663014 | Fernanda Manriquez | Speech-Language Pathologist | 2751 Roosevelt Rd # 205, San Diego, CA 92106-6180 | 2020-06-09 |
| 1588288567 | Samantha Sandler | Speech-Language Pathologist | 2975 Euclid Ave Apt 10, San Diego, CA 92105-3690 | 2020-06-04 |
| 1225652910 | Laura L Kishaba | Speech-Language Pathologist | 13343 Samantha Ave, San Diego, CA 92129-2164 | 2020-05-29 |
| 1003436643 | Carrie Chouinard | Speech-Language Pathologist | 7836 Mission Montana Pl, San Diego, CA 92120-1543 | 2020-04-23 |
| 1801424023 | Chelsey Jean Krug | Speech-Language Pathologist | 9114 Flanders Dr, San Diego, CA 92126-2827 | 2020-04-01 |
| 1104452978 | Joyride Therapeutic Adventures | Speech-Language Pathologist | 3064 Thorn St, San Diego, CA 92104-4639 | 2020-03-12 |
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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.