MRS. SHANNON RAE ERICKSON (NPI# 1326003153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326003153 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON RAE ERICKSON |
| Other Name | MRS. SHANNON RAE HALE |
| Credential | M.ED., CCC-SLP |
| Practice Address |
800 Mariners Dr Kemah TX 77565 |
| Mailing Address |
2951 Marina Bay Dr Ste 130-577 League City TX 77573-2735 |
| Practice Telephone | 9703358115 |
| Mailing Telephone | 9703358115 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 113334 | TX | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 4412 | NM | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 0001761 | CO | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS | 5U956 | 01 |
| AR | 142860721 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649491952 | Shannon K Erickson | Occupational Therapist | 8320 City Centre Drive, Suite G, Woodbury, MN 55125 | 2007-05-02 |
| 1760403323 | Shannon L Erickson | Social Worker | 2270 Drew St, Suite C, Clearwater, FL 33765-3344 | 2006-07-21 |
| 1730704461 | Shannon Erickson | Pharmacist | 6365 Stagecoach Dr, West Des Moines, IA 50266-8083 | 2020-06-09 |
| 1518527530 | Shannon Erickson | Dietitian, Registered | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2019-06-20 |
| Street Address |
800 MARINERS DR |
| City | KEMAH |
| State | TX |
| Zip Code | 77565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154730380 | Ana I. Micale | Psychologist | 1310 Delesandri, Kemah, TX 77565 | 2014-08-13 |
| 1154528792 | Laura L Lawrence | Physician Assistant | 255 Fm 518, Kemah, TX 77565 | 2007-06-28 |
| 1356460463 | Kathy J Marshall | Physician Assistant | 255 Fm 51b, Kemah, TX 77565 | 2007-03-28 |
| 1114170107 | Rachelle N Silverthorn-cramer | Nurse Practitioner | 255 Fm 518, Kemah, TX 77565 | 2008-11-04 |
| 1760519144 | Jack Roy Skelton | Dentist | 405 8th Street, 405 8th Street, Kemah, TX 77565-0000 | 2007-02-27 |
| 1821569930 | Koralina Jimenez | Registered Nurse | 1225 Lawrence Rd Apt 326, Kemah, TX 77565-0315 | 2018-12-16 |
| 1538387436 | Mary Susan Mcclure | Counselor | 902 Fm 518 Road, Kemah, TX 77565-0476 | 2007-04-23 |
| 1528552700 | Michael Leagan | Driver | 636 Appia Dr, Kemah, TX 77565-1652 | 2018-06-20 |
| 1891793816 | Carl H Bechtel | Chiropractor | 2129 Fenwood St, Kemah, TX 77565-2117 | 2005-07-13 |
| 1285076687 | Healing H. A. D. C., Inc | Day Training, Developmentally Disabled Services | 2108 Twin Oaks Blvd, Kemah, TX 77565-2151 | 2013-07-25 |
| Find all providers in zip 77565 | ||||
| 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 |
|---|---|---|---|---|
| 1760083430 | Laura Gallups | Speech-Language Pathologist | 25 Leonard Trl, Westworth Village, TX 76114-4037 | 2020-11-07 |
| 1215538509 | Laura Langford Smith | Speech-Language Pathologist | 7309 Janna Dr, Abilene, TX 79606-5323 | 2020-11-04 |
| 1629679725 | Haley Brawner Warren | Speech-Language Pathologist | 5800 Broadway Ste 106, San Antonio, TX 78209-5257 | 2020-11-04 |
| 1639770142 | Kaitlyn Hazlewood | Speech-Language Pathologist | 7204 Ellis Rd, Fort Worth, TX 76112-4302 | 2020-11-03 |
| 1538760137 | Stefani Stovall | Speech-Language Pathologist | 203 Bo Gibbs Blvd, Glen Rose, TX 76043 | 2020-11-02 |
| 1285234971 | Hilary Rodriguez Febus | Speech-Language Pathologist | 1 Hermann Park Ct Apt 111, Houston, TX 77021-2273 | 2020-10-30 |
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1477153815 | Into Words Therapy Pllc | Speech-Language Pathologist | 11501 Oak Knoll Dr, Austin, TX 78759-3802 | 2020-10-26 |
| 1174122618 | Thoughtful Slp, Pllc | Speech-Language Pathologist | 7806 Copperas Dr, Austin, TX 78749-3807 | 2020-10-24 |
| 1194324723 | Ashley Panakezham | Speech-Language Pathologist | 800 Bonaventure Way Ste 147, Sugar Land, TX 77479-8006 | 2020-10-24 |
| 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.