SHANNON WAGNER (NPI# 1871832691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871832691 |
| Entity Type | Individual |
| Full Name | SHANNON WAGNER |
| Credential | M.A, CCC-SLP |
| Practice Address |
125 Ryan Industrial Ct San Ramon CA 94583-1772 |
| Mailing Address |
135 Jennifer Ct Alamo CA 94507-1261 |
| Practice Telephone | 9258559810 |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 20207 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780077 | Shannon Marie Wagner | Counselor | 2310 E Atlantic Blvd Bldg 2, Pompano Beach, FL 33062-5251 | 2020-05-06 |
| 1225686538 | Shannon Lee Wagner | Behavior Technician | 203 Union St, Manchester, CT 06042-1938 | 2019-08-29 |
| 1255956512 | Shannon Michelle Wagner | Registered Nurse | 551 Broadway, Eagle, CO 81631 | 2020-06-12 |
| 1265073324 | Shannon Dee Wagner | Case Manager/Care Coordinator | 185 N 4th St, Saint Helens, OR 97051-1535 | 2019-09-30 |
| 1427512854 | Shannon Wagner | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2019-01-30 |
| 1437624079 | Shannon Wagner | Behavior Technician | 901 Caledonia St, La Crosse, WI 54603-2616 | 2018-10-10 |
| 1467590737 | Shannon Wagner | Community/Behavioral Health | 2086 Commerce Ave, Concord, CA 94520-4902 | 2007-02-01 |
| Street Address |
125 RYAN INDUSTRIAL CT |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-1772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578799359 | Sharmeen Khan | Occupational Therapist | 125 Ryan Industrial Ct, Suite 205, San Ramon, CA 94583-1772 | 2009-06-06 |
| 1316294606 | Sara Martin | Speech-Language Pathologist | 125 Ryan Industrial Ct, #205, San Ramon, CA 94583-1772 | 2012-08-06 |
| 1518258482 | Katherine S Johnson | Marriage & Family Therapist | 125 Ryan Industrial Ct, Suite 114, San Ramon, CA 94583-1772 | 2011-04-27 |
| 1548562796 | Melanie Beardslee | Speech-Language Pathologist | 125 Ryan Industrial Ct, 205, San Ramon, CA 94583-1772 | 2010-11-20 |
| 1033432158 | Karen Williams | Occupational Therapist | 125 Ryan Industrial Ct, 205, San Ramon, CA 94583-1772 | 2010-03-03 |
| 1093049231 | Rachel Jane Shimer-lal | Occupational Therapist | 125 Ryan Industrial Ct, 205, San Ramon, CA 94583-1772 | 2009-09-21 |
| 1912230319 | Marie Bulbulla | Occupational Therapist | 125 Ryan Industrial Ct, Suite 205, San Ramon, CA 94583-1772 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| 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 |
|---|---|---|---|---|
| 1629607858 | Roxanne Puno | Speech-Language Pathologist | 7366 Balmoral Way, San Ramon, CA 94582-5380 | 2020-04-08 |
| 1164981239 | Mandee Starn | Speech-Language Pathologist | 7777 Norris Canyon Rd, San Ramon, CA 94583-5404 | 2019-03-18 |
| 1477026896 | Paramita Kundu | Speech-Language Pathologist | 31 Hidden Canyon Ct, San Ramon, CA 94582-4816 | 2019-01-08 |
| 1083197529 | Isabel Formoso | Speech-Language Pathologist | 9005 Alcosta Blvd Apt 215, San Ramon, CA 94583-4044 | 2018-09-11 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1871048702 | Anne Laird | Speech-Language Pathologist | 244 Silk Hill Ct, San Ramon, CA 94582-2577 | 2016-08-21 |
| 1497144737 | Kristina Herz | Speech-Language Pathologist | 446 Regal Lily Ln, San Ramon, CA 94582-5526 | 2015-01-09 |
| 1154762730 | Kathleen Yeh | Speech-Language Pathologist | 1155 Canyon Hills Rd, San Ramon, CA 94582-4530 | 2013-07-11 |
| 1548607559 | Megan Harcourt | Speech-Language Pathologist | 1 Crow Canyon Ct Ste 100, San Ramon, CA 94583-1641 | 2013-05-30 |
| 1134408909 | Gail Schwartz | Speech-Language Pathologist | 2868 Westwood Ave, San Ramon, CA 94583-3435 | 2011-08-11 |
| Find all providers in SAN RAMON | ||||
Please comment or provide details below to improve the information on SHANNON WAGNER.
| 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.