AMY JO SHANNON (NPI# 1023268281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023268281 |
| Entity Type | Individual |
| Full Name | AMY JO SHANNON |
| Credential | SLP |
| Practice Address |
200 Gaston Ave Fairmont WV 26554-2739 |
| Practice Telephone | 3046246554 |
| Practice Fax Number | 3046245223 |
| Mailing Telephone | 3046246554 |
| Mailing Fax Number | 3046245223 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | WV | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810013087 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194798413 | Amy K Shannon | Obstetrics & Gynecology | 33 Beaver Dr, Ste 1, Du Bois, PA 15801-2434 | 2006-02-08 |
| 1881104115 | Amy Shannon | Counselor | 1 W Main St, Fleetwood, PA 19522-1323 | 2017-09-29 |
| 1891188868 | Amy Shannon | Dental Hygienist | 153 Manchester St, Suite #5, Concord, NH 03301-5142 | 2015-03-14 |
| 1255655718 | Amy Accettola Shannon | Nurse Practitioner | 3737 High St, Portsmouth, VA 23707-2405 | 2010-03-26 |
| 1730202672 | Amy Ann Shannon | Speech-Language Pathologist | 2805 Charles Bryan Rd, Bartlett, TN 38134-4756 | 2007-04-07 |
| 1841264322 | Amy Shannon | Nurse Practitioner | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-14 |
| Street Address |
200 GASTON AVE |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528244183 | Marion County Board of Education | Local Education Agency (LEA) | 200 Gaston Ave, Fairmont, WV 26554-2739 | 2008-01-14 |
| 1396121422 | Margaret M. Stephens | Psychologist | 200 Gaston Ave, Fairmont, WV 26554-2739 | 2015-07-30 |
| 1871996215 | Mandy Boylen | Registered Nurse | 200 Gaston Ave, Fairmont, WV 26554-2739 | 2014-09-30 |
| 1841629276 | Stephanie Ann Satanek | Speech-Language Pathologist | 200 Gaston Ave, Fairmont, WV 26554-2739 | 2013-11-06 |
| 1629406509 | Gwen Rochelle Carpenter | Speech-Language Pathologist | 200 Gaston Ave, Fairmont, WV 26554-2739 | 2013-10-31 |
| 1619312345 | Kathryn Currey Vangilder | Speech-Language Pathologist | 200 Gaston Ave, Fairmont, WV 26554-2739 | 2013-05-08 |
| 1003180811 | Molly Beth Greene | Speech-Language Pathologist | 200 Gaston Ave, Fairmont, WV 26554-2739 | 2012-02-27 |
| 1629391750 | Kathy M. Brooks | Speech-Language Pathologist | 200 Gaston Ave, Fairmont, WV 26554-2739 | 2010-03-03 |
| 1811120744 | Megan Aaltje Vanderwijst | Speech-Language Pathologist | 200 Gaston Ave, Fairmont, WV 26554-2739 | 2009-08-26 |
| 1609013606 | Laura Goblinger | Speech-Language Pathologist | 200 Gaston Ave, Fairmont, WV 26554-2739 | 2009-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| 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 |
|---|---|---|---|---|
| 1942471198 | Sharon R Clagett | Speech-Language Pathologist | 941 Farms Dr, Fairmont, WV 26554-3558 | 2008-03-17 |
| 1659860328 | Lara Nicole Angelilli | Speech-Language Pathologist | 1543 Country Club Rd, Fairmont, WV 26554-1306 | 2018-05-08 |
| 1255843934 | Stephanie Lynn Andersen | Speech-Language Pathologist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2017-11-02 |
| 1780196824 | Jean Gerdes | Speech-Language Pathologist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2017-10-30 |
| 1942737598 | Amana Ahamad | Speech-Language Pathologist | 1539 Country Club Rd, Fairmont, WV 26554-1306 | 2017-05-15 |
| 1790145407 | Megan Colvin | Speech-Language Pathologist | 1539 Country Club Rd, Fairmont, WV 26554-1306 | 2016-02-24 |
| 1932579075 | Natalie Patton | Speech-Language Pathologist | 130 Kaufman Dr, Fairmont, WV 26554-2179 | 2015-10-01 |
| 1144638727 | Courtney Aller | Speech-Language Pathologist | 1539 Country Club Rd, Fairmont, WV 26554-1306 | 2014-07-28 |
| 1841629276 | Stephanie Ann Satanek | Speech-Language Pathologist | 200 Gaston Ave, Fairmont, WV 26554-2739 | 2013-11-06 |
| 1629406509 | Gwen Rochelle Carpenter | Speech-Language Pathologist | 200 Gaston Ave, Fairmont, WV 26554-2739 | 2013-10-31 |
| Find all providers in FAIRMONT | ||||
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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.