MRS. SHANNON LEE JETT BERRY (NPI# 1922141555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922141555 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON LEE JETT BERRY |
| Credential | MA, CCC-SLP |
| Practice Address |
218 N Florida St Suite 3 Bushnell FL 33513-6150 |
| Mailing Address |
1586 County Road 543a Sumterville FL 33585-5125 |
| Practice Telephone | 3527934512 |
| Practice Fax Number | 3527934519 |
| Mailing Telephone | 3525680506 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA6623 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 887849800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720401714 | Shannon D. Berry | Speech-Language Pathologist | 1231 Harbor River Dr, Memphis, TN 38103-8980 | 2014-01-27 |
| 1679174643 | Shannon Berry | Pharmacist | 1712 E Ohio St, Clinton, MO 64735-2402 | 2020-11-05 |
| 1205253267 | Shannon Berry | Emergency Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-03-27 |
| 1295057818 | Shannon Berry | Occupational Therapy Assistant | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2010-02-23 |
| 1770719668 | Shannon Gammill Berry | Emergency Medicine | 1635 Marvel St, Coushatta, LA 71019-9022 | 2009-06-05 |
| 1649381245 | Shannon Berry | Advanced Practice Midwife | 100 Brewster Blvd, Medical Staff Services, Camp Lejeune, NC 28547-2538 | 2006-08-31 |
| 1013909811 | Shannon M Berry | Internal Medicine | 295 Posada Ln, Suite D, Templeton, CA 93465-4055 | 2005-08-17 |
| Street Address |
218 N FLORIDA ST SUITE 3 |
| City | BUSHNELL |
| State | FL |
| Zip Code | 33513-6150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619465481 | Crystal Wallace Goddin | Physical Therapy Assistant | 1104 N Main St, Bushnell, Fl, Bushnell, FL 33513 | 2018-04-27 |
| 1255836920 | Anton Dawson | Behavior Technician | 2310 Cr 615, Bushnell, FL 33513 | 2018-03-26 |
| 1942728431 | Carolyn Sue Guarino | Licensed Practical Nurse | 10306 S.w. 53rd Terr., Bushnell, FL 33513 | 2017-09-05 |
| 1326321258 | Edith Marie Evans | Case Manager/Care Coordinator | 2891 C.r. 615b, Bushnell, FL 33513 | 2011-09-27 |
| 1144478439 | Emma J Ridley | Pharmacist | Sumter Oaks Park, 4602 Couny Rd. 673, #14107, Bushnell, FL 33513 | 2008-08-29 |
| 1205083268 | Diana K Mullin | Day Training, Developmentally Disabled Services | 9325 Cr 622 G, Bushnell, FL 33513 | 2008-08-21 |
| 1467625202 | Amy's Caring Hands | Day Training, Developmentally Disabled Services | 1612 W County Road 476, Bushnell, FL 33513 | 2008-04-11 |
| 1821212952 | Stuart J Kaufman Md & Assoc Pa | Ophthalmology | 1814 West Cr 48, Bushnell, FL 33513 | 2007-04-12 |
| 1740201128 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1122 N Main St, Bushnell, FL 33513 | 2006-07-21 |
| 1184688947 | Florida Department of Health | Public Health or Welfare | 415 E Noble Ave, Bushnell, FL 33513 | 2006-04-17 |
| Find all providers in zip 33513 | ||||
| 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 |
|---|---|---|---|---|
| 1619578135 | Jennifer Savary Duggar | Speech-Language Pathologist | 744 Lonnie Raker Ln, Crawfordville, FL 32327-0125 | 2020-11-02 |
| 1952900458 | Emily Morgan Thomas | Speech-Language Pathologist | 4141 Ashton Club Dr, Lake Wales, FL 33859-5703 | 2020-10-26 |
| 1558960005 | Amanda Lacroix | Speech-Language Pathologist | 1333 Gateway Dr, Melbourne, FL 32901-2646 | 2020-10-25 |
| 1417556952 | Global Speech Pathology, LLC | Speech-Language Pathologist | 3882 Sand Dune Ct, Destin, FL 32541-3210 | 2020-10-24 |
| 1609475094 | Erika Michele Moorman | Speech-Language Pathologist | 1031 Seminole Dr, Fort Lauderdale, FL 33304-3243 | 2020-10-18 |
| 1396343984 | Roxana Gonzalez Corp | Speech-Language Pathologist | 13965 Sw 160th Ter, Miami, FL 33177-1907 | 2020-10-15 |
| 1518564202 | Christie L Williams | Speech-Language Pathologist | 4715 Nw 28th Ter, Gainesville, FL 32605-1105 | 2020-10-06 |
| 1598362204 | Speech of Miami Inc | Speech-Language Pathologist | 671 Biltmore Way Apt 503, Coral Gables, FL 33134-7502 | 2020-10-06 |
| 1043817836 | Cassandra Grace Cuyler | Speech-Language Pathologist | 5458 Town Center Rd Ste 1, Boca Raton, FL 33486-1026 | 2020-10-05 |
| 1386241354 | Justina J Falcone | Speech-Language Pathologist | 3223 Sw 15th Pl, Cape Coral, FL 33914-1505 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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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.