MS. SHANNON LEIGH CUSHMAN (NPI# 1700952033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700952033 |
| Entity Type | Individual |
| Full Name | MS. SHANNON LEIGH CUSHMAN |
| Credential | MS CCC SLP |
| Practice Address |
2220 S Country Club #104 Mesa AZ 85210 |
| Mailing Address |
Po Box 6397 Chandler AZ 85246 |
| Practice Telephone | 4808206366 |
| Practice Fax Number | 4808200462 |
| Mailing Telephone | 4808206366 |
| Mailing Fax Number | 4808200462 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP4692 | AZ | Speech, Language and Hearing Service Providers |
| Street Address |
2220 S COUNTRY CLUB #104 |
| City | MESA |
| State | AZ |
| Zip Code | 85210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780750075 | Brooke R Olson | Physical Therapist | 2220 S Country Club #104, Mesa, AZ 85210 | 2006-11-28 |
| 1366518417 | Martina Gabriele Allen | Occupational Therapist | 2220 S Country Club #104, Mesa, AZ 85210 | 2006-11-28 |
| 1942376272 | Kimberly Lynn Colguitt | Speech-Language Pathologist | 2220 S Country Club #104, Mesa, AZ 85210 | 2006-11-28 |
| 1679649917 | Joanne Kirsten Lupe | Speech-Language Pathologist | 2220 S Country Club #104, Mesa, AZ 85210 | 2006-11-28 |
| 1710053079 | Jan A Libera | Speech-Language Pathologist | 2220 S Country Club #104, Mesa, AZ 85210 | 2006-11-28 |
| 1861568057 | Sue Thayer Everett | Speech-Language Pathologist | 2220 S Country Club #104, Mesa, AZ 85210 | 2006-11-28 |
| 1619043809 | Carysa Malaret Dugan | Physical Therapist | 2220 S Country Club #104, Mesa, AZ 85210 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| 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 |
|---|---|---|---|---|
| 1043829880 | Micaela Nitzel | Speech-Language Pathologist | 545 N Horne, Mesa, AZ 85203-7124 | 2020-07-28 |
| 1376152199 | Charlotte Torma | Speech-Language Pathologist | 630 N Hunt Dr, Mesa, AZ 85203-6533 | 2020-07-28 |
| 1568071397 | Ashton Belew | Speech-Language Pathologist | 930 S Sirrine, Mesa, AZ 85210-3736 | 2020-07-28 |
| 1023627866 | Rachel Marie Ladzinski | Speech-Language Pathologist | 202 N Sycamore, Mesa, AZ 85201-6150 | 2020-07-28 |
| 1881203511 | Taylor Ann Templeton | Speech-Language Pathologist | 3220 E Pueblo Ave, Mesa, AZ 85204-4028 | 2020-07-28 |
| 1639788490 | Jessica Tsay | Speech-Language Pathologist | 9410 E Mckellips Rd, Mesa, AZ 85207-2631 | 2020-07-28 |
| 1487205795 | Haley Mulherin | Speech-Language Pathologist | 463 S Alma School Rd, Mesa, AZ 85210-1014 | 2019-09-27 |
| 1134778384 | Bailey Farnsworth | Speech-Language Pathologist | 2325 E Adobe St, Mesa, AZ 85213-6713 | 2019-09-10 |
| 1821658956 | Diane Marie Senffner | Speech-Language Pathologist | 4133 N Boulder Cyn, Mesa, AZ 85207-0970 | 2019-06-20 |
| 1790267599 | Elisabeth Rieks | Speech-Language Pathologist | 945 W Rio Salado Pkwy, Mesa, AZ 85201-3902 | 2018-08-29 |
| Find all providers in MESA | ||||
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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.