SHANE JAMES (NPI# 1629464706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629464706 |
| Entity Type | Individual |
| Full Name | SHANE JAMES |
| Credential | M.S. CCC-SLP |
| Practice Address |
425 Medical Dr Ste 122 Bountiful UT 84010 |
| Mailing Address |
425 Medical Dr Ste 122 Bountiful UT 84010-4956 |
| Practice Telephone | 8017190754 |
| Practice Fax Number | 3852756764 |
| Mailing Telephone | 8017190754 |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2018-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 284413-4102-2015 | UT | Speech, Language and Hearing Service Providers |
| Street Address |
425 MEDICAL DR STE 122 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891256327 | Stefanie Lyn Mcwilliams | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010-4956 | 2019-03-27 |
| 1942770839 | Paige Harris | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010-4956 | 2018-12-04 |
| 1326513060 | Kathleen George | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010-4956 | 2018-10-09 |
| 1023511284 | Shanna Reeder | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010-4956 | 2018-03-14 |
| 1053830075 | Brittni Bergstrom | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010-4956 | 2017-09-11 |
| 1134644453 | John Oliver Wald | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010-4956 | 2017-08-08 |
| 1356878573 | Deanna Dixon | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010-4956 | 2017-05-18 |
| 1194260307 | Kayleen Rodemack | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010-4956 | 2016-12-23 |
| 1447601083 | Diane Nilsson | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010-4956 | 2016-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| 1598162141 | Modern Dental Professionals - Utah, PC | Dentist | 24 South 500 West, #d, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| 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 |
|---|---|---|---|---|
| 1235612532 | Mckenzie Jo Rohde | Speech-Language Pathologist | 1865 S 900 E, Bountiful, UT 84010-2340 | 2018-09-12 |
| 1710484290 | Jennifer Marie Burnett | Speech-Language Pathologist | 280 N Main St Ste 200, Bountiful, UT 84010-6136 | 2018-04-10 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1053675066 | Erin Mcquivey | Speech-Language Pathologist | 280 N Main St Fl 2, Bountiful, UT 84010-6136 | 2012-06-25 |
| 1073895025 | Cassidy Bull | Speech-Language Pathologist | 280 N Main St # 2, Bountiful, UT 84010-6136 | 2011-09-15 |
| 1710281449 | Michelle Miner Taggart | Speech-Language Pathologist | 1353 Stellaria Cir, Bountiful, UT 84010-2215 | 2011-01-10 |
| 1942260401 | Breanna R Nelson | Speech-Language Pathologist | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2006-03-27 |
| 1083242085 | Mary Rebekah Forbes | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010-4989 | 2020-03-27 |
| 1811538697 | Tayler Jensen | Speech-Language Pathologist | 280 N Main St, Bountiful, UT 84010-6136 | 2019-10-03 |
| 1891256327 | Stefanie Lyn Mcwilliams | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010-4956 | 2019-03-27 |
| Find all providers in BOUNTIFUL | ||||
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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.