SHANNON ZIMMERMAN (NPI# 1336596626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 9483 | MN | Speech, Language and Hearing Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2835 W Saint Germain St, Suite 300, Saint Cloud, MN 563016280 | 3202594151 | 3202595707 |
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 |
Street Address |
2101 WOODDALE DR STE A |
City | WOODBURY |
State | MN |
Zip Code | 55125-2933 |
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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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 |
Find all providers in zip 55125 |
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 |
---|---|---|---|---|
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 |
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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.