SHANNON ZIMMERMAN


Address: 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933
Phone: 6517389888

SHANNON ZIMMERMAN (NPI# 1336596626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336596626
Entity Type Individual
Full Name SHANNON ZIMMERMAN
Other Name SHANNON RUDESILL
Credential CCC-SLP
Practice Address 2101 Wooddale Dr Ste A
Woodbury
MN 55125-2933
Practice Telephone 6517389888
Practice Fax Number 6517389889
Mailing Telephone 6517389888
Mailing Fax Number 6517389889
Enumeration Date 2016-05-17
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 9483 MN Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2835 W Saint Germain St, Suite 300, Saint Cloud, MN 563016280 3202594151 3202595707

Other Providers SHANNON ZIMMERMAN

NPI Name Taxonomy Address Enumeration
1629682398 Shannon Zimmerman Massage Therapist 11550 Villa Grand Apt 1311, Fort Myers, FL 33913-8613 2020-09-01
1376608745 Shannon Lee Zimmerman Speech-Language Pathologist 986 Belvedere Dr, Lebanon, OH 45036-2890 2006-12-26

Office Location

Street Address 2101 WOODDALE DR STE A
City WOODBURY
State MN
Zip Code 55125-2933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093828188 Theresa M Nichols Occupational Therapist 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 2006-08-16
1912508664 Theresa Marie Thomas Occupational Therapist 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 2020-11-07
1295372126 Wendy Leigh Beaton-lanz Speech-Language Pathologist 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 2019-12-10
1396386751 Kari Hovey Speech-Language Pathologist 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 2019-10-07
1467003152 Will Hocker Speech-Language Pathologist 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 2019-09-24
1790335511 Kimberly Hotchkiss Occupational Therapist 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 2019-09-13
1841849247 Tiana Marie Bruer Burda Occupational Therapist 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 2019-09-09
1679055149 Mary Johannes Speech-Language Pathologist 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 2018-08-31
1366938755 Teresa Jean Gonia Speech-Language Pathologist 2101 Wooddale Dr Ste A, Woodbury, MN 55125-2933 2018-07-09
1861981805 Peter M Matenaer Occupational Therapist 2101 Wooddale Dr Ste A, Woodbury, MN 55125 2018-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487268728 Haley Kirkpatrick Behavior Technician 721 Commerce Dr., Woodbury, MN 55125 2020-09-03
1689218091 Jordan Schmidt Student in an Organized Health Care Education/Training Program 1740 Welr Dr. #24, Woodbury, MN 55125 2019-10-30
1629619580 Mackenzie Ann Funke Occupational Therapist 721 Commerce Drivve, Woodbury, MN 55125 2019-10-02
1700342029 Darcy Stivland Counselor 1811 Weir Drive #270, Woodbury, MN 55125 2019-02-11
1235609884 Elizabeth Kennedy Ward Psychologist 7582 Currell Blvd Suite 208, Woodbury, MN 55125 2018-11-27
1528573664 Cory Lee Baumeister Counselor 652 Bielenberg Dr, Woodbury, MN 55125 2017-12-12
1760918239 David James Knight Dentist 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 2017-05-03
1366988826 Mark Your Home Health Care LLC Home Health 6053 Hudson Road, Suite 200, Woodbury, MN 55125 2017-01-09
1518415736 Kubei Holdings Group LLC Case Management 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 2016-09-16
1285087072 Adrian Jung Occupational Therapist 155 Radio Drive, Woodbury, MN 55125 2016-07-18
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487263331 Carly Isabel Saunders Speech-Language Pathologist 33 Caumsett Woods Ln, Woodbury, NY 11797-1245 2020-07-27
1831715606 Jennifer Pheifer Stamm Speech-Language Pathologist 11732 Aster Ln, Woodbury, MN 55129-6703 2020-06-17
1003327222 Little Magpies Speech Therapy, LLC Speech-Language Pathologist 57 Cooper St Ofc C, Woodbury, NJ 08096-4650 2017-10-15
1861841280 Rachel Sessions Speech-Language Pathologist 9680 Tamarack Rd, Suite 130, Woodbury, MN 55125-2617 2016-06-07
1205282209 Hillary Vickery Speech-Language Pathologist 356 Covered Bridge Rd, Woodbury, GA 30293-2348 2016-05-09
1043666456 Brittany Sloane Zucker Speech-Language Pathologist 37 Orchard Dr, Woodbury, NY 11797-2827 2016-05-05
1972962025 Elyssa Rae Kaden Speech-Language Pathologist 28 Juneau Blvd, Woodbury, NY 11797-2611 2016-02-17
1962869719 Christine Russell Speech-Language Pathologist 11628 Ivywood Cir, Woodbury, MN 55129-7796 2016-01-25
1144605239 Lindsay Merenstein Speech-Language Pathologist 7 Turret Ln, Woodbury, NY 11797-1021 2015-07-30
1215318480 Minnesota Speech Specialists, LLC Speech-Language Pathologist 2640 Windsor Ln, Woodbury, MN 55125-2792 2015-06-14
Find all providers in WOODBURY

Competitor

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City WOODBURY
Zip Code 55125

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Dataset Information

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.

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