SHELLY F SPOONER (NPI# 1780217539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780217539 |
Entity Type | Individual |
Full Name | SHELLY F SPOONER |
Other Name | SHELLY CUMMINGS |
Credential | STA |
Practice Address |
57 Fairview Ave Skowhegan ME 04976-1414 |
Mailing Address |
Po Box 468 Skowhegan ME 04976-0468 |
Practice Telephone | 2074747000 |
Practice Fax Number | 2078584772 |
Mailing Telephone | 2078588353 |
Mailing Fax Number | 2074749261 |
Enumeration Date | 2020-02-20 |
Last Update Date | 2020-02-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SAS2352 | ME | Speech, Language and Hearing Service Providers |
Street Address |
57 FAIRVIEW AVE |
City | SKOWHEGAN |
State | ME |
Zip Code | 04976-1414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336179084 | Redington Medical Associates | Anesthesiology | 57 Fairview Ave, Skowhegan, ME 04976-1403 | 2006-07-04 |
1598382608 | Kirsten Rose Wood | Physical Therapist | 57 Fairview Ave, Skowhegan, ME 04976-1414 | 2020-07-06 |
1659991412 | Alyssa M Bloom | Physical Therapist | 57 Fairview Ave, Skowhegan, ME 04976-1414 | 2020-04-22 |
1033743562 | Shanna L Cipriano | Physical Therapy Assistant | 57 Fairview Ave, Skowhegan, ME 04976-1414 | 2020-02-24 |
1538792361 | Scot A Padelford | Specialist/Technologist | 57 Fairview Ave, Skowhegan, ME 04976-1414 | 2020-02-20 |
1871126615 | Shari C Thebarge | Physical Therapist | 57 Fairview Ave, Skowhegan, ME 04976-1414 | 2020-02-20 |
1417580333 | Ken R Ward | Physical Therapy Assistant | 57 Fairview Ave, Skowhegan, ME 04976-1414 | 2020-02-19 |
1306479241 | Marie B Wade | Physical Therapist | 57 Fairview Ave, Skowhegan, ME 04976-1414 | 2020-02-19 |
1508499575 | Lillian T Bronson | Occupational Therapy Assistant | 57 Fairview Ave, Skowhegan, ME 04976-1414 | 2020-02-19 |
1194358002 | Nathan C Wilkins | Physical Therapist | 57 Fairview Ave, Skowhegan, ME 04976-1414 | 2020-02-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922625573 | Alexander Jacob Tyburski | Dentist | 327 North Avenue, Skowhegan, ME 04976 | 2020-06-30 |
1033574348 | Northwoods Dental LLC | Dentist | 327 North Ave, Skowhegan, ME 04976 | 2015-12-31 |
1073988010 | Elizabeth Ann Corbin | Social Worker | 60 Water Street; Suite 202, Skowhegan, ME 04976 | 2015-12-02 |
1861875411 | Rebecca J. Dillingham | Registered Nurse | 1074 Canaan Road, Skowtogan, ME 04976 | 2015-07-01 |
1972915411 | Elisa Maria Diaz | Family Medicine | 46 Fairview Ave # 111, Skowhegan, ME 04976 | 2014-06-02 |
1215289277 | Alicia Bedard | Social Worker | 5 Commerce Drive, Skowhegan, ME 04976 | 2012-10-15 |
1942497276 | Betsy Belanger | Occupational Therapist | 23 Cedar Ridge Drive, Skowhegan, ME 04976 | 2007-10-01 |
1033322920 | Msad #54 | Local Education Agency (LEA) | 199 West Front Street, Skowhegan, ME 04976 | 2007-05-07 |
1063632263 | Shirley A Manzer | Case Manager/Care Coordinator | 78 Madison Ave, Skowhegan, ME 04976 | 2007-04-27 |
1275750259 | Elizabeth Doucette | Specialist | 220 Madsion Ave., Skowhegan, ME 04976 | 2007-04-19 |
Find all providers in zip 04976 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891247953 | Emily Elizabeth Normandin | Specialist/Technologist | 116 Middle St, Farmington, ME 04938-1534 | 2016-10-25 |
1457754889 | Meagan Valles | Specialist/Technologist | 529 Files Hill Rd, Thorndike, ME 04986-3112 | 2014-09-30 |
1205238813 | Marie-anne White | Specialist/Technologist | 3 Old County Rd, Lisbon, ME 04250-6214 | 2014-09-25 |
1013342682 | Carly Dawn Pelletier | Specialist/Technologist | 799 Hancock St, Rumford, ME 04276-1547 | 2013-09-13 |
1477824555 | Amber Taylor | Specialist/Technologist | 91 Camden St Ste 108, Rockland, ME 04841-2430 | 2012-01-20 |
1992088728 | Susan Martins | Specialist/Technologist | 72 Strawberry Ave., Lewiston, ME 04240 | 2011-09-28 |
1396035531 | Sandra L. Welch | Specialist/Technologist | 285 Benton Ave., Winslow, ME 04901-3004 | 2011-04-08 |
1356630016 | Shannon Huckaby | Specialist/Technologist | 30 Libby St, Portland, ME 04103-1925 | 2011-04-04 |
1730488636 | Christine M Fournier | Specialist/Technologist | 143 Mt Tom Rd, Pembroke, ME 04666-4702 | 2011-03-18 |
1992003222 | Rhonnie Gardner | Specialist/Technologist | 16 Great Works Rd, Edmunds Twp, ME 04628-5200 | 2011-03-10 |
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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.