SHELLY F SPOONER


Address: 57 Fairview Ave, Skowhegan, ME 04976-1414
Phone: 2074747000

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 57 FAIRVIEW AVE
City SKOWHEGAN
State ME
Zip Code 04976-1414

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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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Competitor

Search similar providers

City SKOWHEGAN
Zip Code 04976

Improve Information

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Dataset Information

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.

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