SHANNON TATUM (NPI# 1306374335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306374335 |
| Entity Type | Individual |
| Full Name | SHANNON TATUM |
| Credential | MA, CF-SLP |
| Practice Address |
606 Sherburn Ct Orlando FL 32828-9017 |
| Practice Telephone | 4078838636 |
| Practice Fax Number | 4078676203 |
| Mailing Telephone | 4078838636 |
| Mailing Fax Number | 4078676203 |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2017-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SZ8030 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119610 | Shannon Tatum | Behavior Technician | 11661 Preston Rd Ste 260, Dallas, TX 75230-6108 | 2020-06-17 |
| 1972747368 | Shannon Lee Tatum | Social Worker | 122 S Main St, Suite 200, Ann Arbor, MI 48104-1929 | 2009-04-29 |
| Street Address |
606 SHERBURN CT |
| City | ORLANDO |
| State | FL |
| Zip Code | 32828-9017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992840672 | Tara Brook Vancil | Occupational Therapist | 606 Sherburn Ct, Orlando, FL 32828-9017 | 2007-02-21 |
| 1013539378 | Brooke Kittelson | Speech-Language Pathologist | 606 Sherburn Ct, Orlando, FL 32828-9017 | 2020-05-09 |
| 1922620285 | Jamilla Bigby | Speech-Language Pathologist | 606 Sherburn Ct, Orlando, FL 32828-9017 | 2020-05-09 |
| 1255952198 | Kayla Wilbanks | Speech-Language Pathologist | 606 Sherburn Ct, Orlando, FL 32828-9017 | 2020-05-01 |
| 1295390417 | Kayla Hobbs | Speech-Language Pathologist | 606 Sherburn Ct, Orlando, FL 32828-9017 | 2019-05-02 |
| 1356800544 | Sarah Shipman | Speech-Language Pathologist | 606 Sherburn Ct, Orlando, FL 32828-9017 | 2019-03-18 |
| 1396226486 | Abigail Mina | Speech-Language Pathologist | 606 Sherburn Ct, Orlando, FL 32828-9017 | 2018-08-27 |
| 1093296188 | Holly Kennon | Speech-Language Pathologist | 606 Sherburn Ct, Orlando, FL 32828-9017 | 2018-08-27 |
| 1881171908 | Jonathan Ray Dubois | Speech-Language Pathologist | 606 Sherburn Ct, Orlando, FL 32828-9017 | 2018-07-21 |
| 1669967238 | Kasey Abueg | Speech-Language Pathologist | 606 Sherburn Ct, Orlando, FL 32828 | 2018-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057501 | Antonia Mejia | Social Worker | 15260 Sugargrove Way, Orlando, FL 32828 | 2018-06-22 |
| 1871087692 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 3502 Avalon Park East Blvd, Orlando, FL 32828 | 2018-06-15 |
| 1386169738 | Ashley Nicole Wilkins | Specialist/Technologist | 2653 Wembleycross Way, Orlando, FL 32828 | 2017-08-07 |
| 1558812388 | Porta Nova Homemaker Companion Services, LLC | In Home Supportive Care | 515 Spring River Drive, Orlando, FL 32828 | 2016-10-17 |
| 1467908715 | Alexander Duque | Dentist | 785 N Alafaya Trail, Orlando, FL 32828 | 2016-08-28 |
| 1568819886 | Nicole Kircher | Behavioral Analyst | 757 Sterling Springs Rd, Orlando, FL 32828 | 2016-05-17 |
| 1477908556 | Sandra Maria Garcia | Speech-Language Pathologist | 4961 Atwood Dr, Orlando, FL 32828 | 2016-04-26 |
| 1821473380 | Sandra Ware | Physical Therapy Assistant | 498 Palm Springs Dr, Ste 345, Orlando, FL 32828 | 2015-07-27 |
| 1649674367 | Lisa M Keough | Occupational Therapist | 447 Bella Vida Blvd., Creative Speech Solutions & Therapy, Orlando, FL 32828 | 2014-10-09 |
| 1336549781 | Melissa Cossu | Developmental Therapist | 14428 Turning Leaf Dr, Orlando, FL 32828 | 2014-09-03 |
| Find all providers in zip 32828 | ||||
| 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 |
|---|---|---|---|---|
| 1922605989 | Simple Speech Therapy, LLC | Speech-Language Pathologist | 10533 Billings St, Orlando, FL 32832-4911 | 2020-10-02 |
| 1588278758 | Inspired Speech Therapy, LLC | Speech-Language Pathologist | 12850 Lakebrook Dr, Orlando, FL 32828-8726 | 2020-09-03 |
| 1144838020 | Horizon West Therapies LLC | Speech-Language Pathologist | 11845 Sheltering Pine Dr, Orlando, FL 32836-8831 | 2020-07-16 |
| 1124654314 | Molly Carney | Speech-Language Pathologist | 5125 Adanson St Ste 750, Orlando, FL 32804-1327 | 2020-03-19 |
| 1356974190 | Tamara R Fourth | Speech-Language Pathologist | 3020 Mesa Verde Dr Apt 1906, Orlando, FL 32837-4369 | 2020-02-20 |
| 1811552714 | Sika Akua Bonsu | Speech-Language Pathologist | 4146 Versailles Dr Unit 4146d, Orlando, FL 32808-2286 | 2019-05-06 |
| 1891257978 | Mitza Eimy Nieves | Speech-Language Pathologist | 769 Sterling Spring Rd, Orlando, FL 32828-6664 | 2019-04-05 |
| 1851859987 | Angelina Michelle Welch | Speech-Language Pathologist | 7380 W Sand Lake Rd Unit 513, Orlando, FL 32819-5248 | 2019-03-07 |
| 1346721008 | Barbara Nieves | Speech-Language Pathologist | 1675 Lakemont Ave Apt 104, Orlando, FL 32814-6349 | 2018-08-22 |
| 1396231858 | Abigail P Raines | Speech-Language Pathologist | 9487 Dowden Rd Apt 6104, Orlando, FL 32832-5680 | 2018-07-09 |
| Find all providers in ORLANDO | ||||
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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.