DR. SHANNON LYNN BERENDES (NPI# 1922179407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922179407 |
| Entity Type | Individual |
| Full Name | DR. SHANNON LYNN BERENDES |
| Credential | AU.D. |
| Practice Address |
280 Hospital Pkwy Building B San Jose CA 95119-1103 |
| Mailing Address |
743 Sunset Glen Dr San Jose CA 95123-4544 |
| Practice Telephone | 4089726587 |
| Practice Fax Number | 4089727485 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AU 2208 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
280 HOSPITAL PKWY BUILDING B |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316056310 | Ingrid Christina Stram-doll | Nurse Practitioner | 280 Hospital Pkwy, Bldg A, San Jose, CA 95119-1103 | 2006-08-30 |
| 1497280465 | Stephanie Do | Pharmacist | 280 Hospital Pkwy, San Jose, CA 95119-1103 | 2017-04-26 |
| 1033640990 | Susan Timpe | Pharmacist | 280 Hospital Pkwy, Building D Pharmacy, San Jose, CA 95119-1103 | 2017-03-22 |
| 1194189704 | Suresh Maharjan | Internal Medicine | 280 Hospital Pkwy, San Jose, CA 95119-1103 | 2016-04-09 |
| 1518343821 | Kaiser Permanente | General Acute Care Hospital | 280 Hospital Pkwy, Bldg B, San Jose, CA 95119-1103 | 2015-08-10 |
| 1790027944 | Thomas Caradonna | Internal Medicine | 280 Hospital Pkwy, Bldg D, San Jose, CA 95119-1103 | 2013-03-25 |
| 1578822698 | Poorti Vishvanath Bhandarkar | Internal Medicine | 280 Hospital Pkwy, San Jose, CA 95119-1103 | 2012-05-09 |
| 1770893422 | Daylan Yaqui Cox | General Acute Care Hospital | 280 Hospital Pkwy, San Jose, CA 95119 | 2010-10-15 |
| 1639495807 | Amanda Nicole Graff-baker | Surgery | 280 Hospital Pkwy, San Jose, CA 95119-1103 | 2010-04-13 |
| 1962736645 | Michelle Christine Rhea | Physician Assistant | 280 Hospital Pkwy, Building D, San Jose, CA 95119-1103 | 2009-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565633 | Meagan Michelle Bergeron | Audiologist | 6060 Hellyer Ave Ste 150, San Jose, CA 95138-1047 | 2020-07-13 |
| 1750931036 | Stephanie Hideko Tademaru | Audiologist | 175 N Jackson Ave Ste 204, San Jose, CA 95116-1909 | 2019-09-18 |
| 1144619479 | Lishuang Huang | Audiologist | 1919 Fruitdale Ave Apt D20, San Jose, CA 95128 | 2015-01-09 |
| 1235389925 | Ferri Demetrice Smith | Audiologist | Santa Clara Valley Medical Center, Ent/audiology Dept, 751 South Bascom Avenue, 4th Floor, Ste 410, San Jose, CA 95128 | 2008-09-30 |
| 1427224492 | Nancy Notor | Audiologist | 1548 Arata Ct, San Jose, CA 95125-1801 | 2008-04-30 |
| 1285776849 | Patricia Cato Coogan | Audiologist | 175 N. Jackson Avenue, Suite 204, San Jose, CA 95116 | 2007-02-12 |
| 1700930393 | Nobuko Mizushima Ito | Audiologist | 2577 Samaritan Dr Ste 755, San Jose, CA 95124-4109 | 2007-01-22 |
| 1972677946 | Jose Renato Libunao II | Audiologist | 5831 Cottle Rd, San Jose, CA 95123-3734 | 2006-11-20 |
| 1164594370 | Julie Tate Keesling | Audiologist | 280 Hospital Pkwy Bldg B, San Jose, CA 95119-1103 | 2006-11-14 |
| 1215018809 | Patricia Lynn Mc Crumb | Audiologist | 696 E. Santa Clara Street, Suite 110, San Jose, CA 95112 | 2006-10-18 |
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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.