MRS. SHANNON SMITH COCKRAM (NPI# 1366931776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366931776 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON SMITH COCKRAM |
| Credential | M.S. CCC-SLP |
| Practice Address |
104 Rucker St. Stuart VA 24171 |
| Mailing Address |
433 Widgeon Creek Rd Woolwine VA 24185-3602 |
| Practice Telephone | 2766943163 |
| Practice Fax Number | 2766943170 |
| Mailing Telephone | 2766926054 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2203000475 | VA | Speech, Language and Hearing Service Providers |
| Street Address |
104 RUCKER ST. |
| City | STUART |
| State | VA |
| Zip Code | 24171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
| 1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
| 1396128948 | Rebecca Hawks | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
| 1790168524 | Jim Best Jr. | Speech-Language Pathologist | 817 Woodland Dr., Stuart, VA 24171 | 2015-06-29 |
| 1205115524 | Thomas Ira Debusk IIi | Pharmacist | 140 South Main St., Rite Aid Pharmacy, Stuart, VA 24171 | 2011-08-04 |
| 1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
| 1174765408 | First Quality Nursing LLC | Home Health | 105 Landmark Drive, Stuart, VA 24171 | 2009-04-01 |
| 1033356449 | Anthony's Builders | Private Vehicle | 16128 Jeb Stuart Hwy, Stuart, VA 24171 | 2009-01-08 |
| 1033295092 | Team Nurse, Inc | Registered Nurse | 126 N. Main Street, Stuart, VA 24171 | 2006-10-31 |
| 1902900202 | Pch Operations, LLC Dba R.j. Reynolds-patrick County Memorial Hospital | General Acute Care Hospital | 18688 Jeb Stuart Highway, Stuart, VA 24171 | 2006-09-08 |
| Find all providers in zip 24171 | ||||
| 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 |
|---|---|---|---|---|
| 1255946802 | Digna Montoya | Speech-Language Pathologist | 7232 Se Sweetwood Ter, Stuart, FL 34997-2113 | 2020-09-10 |
| 1295344935 | Rachel Carofano | Speech-Language Pathologist | 6775 Sw Gaines Ave, Stuart, FL 34997-7408 | 2020-07-29 |
| 1306454806 | Rylee Pirson | Speech-Language Pathologist | 960 Se Waterside Way, Stuart, FL 34997-2826 | 2020-07-21 |
| 1508313438 | Jane Hooks | Speech-Language Pathologist | 432 Se Edgewood Dr, Stuart, FL 34996-4712 | 2016-09-08 |
| 1295194801 | Dana Buckles | Speech-Language Pathologist | 1954 Nw 22nd St, Stuart, FL 34994-9270 | 2016-02-11 |
| 1790168524 | Jim Best Jr. | Speech-Language Pathologist | 817 Woodland Dr., Stuart, VA 24171 | 2015-06-29 |
| 1124434899 | Denise Autumn Drellich | Speech-Language Pathologist | 848 Se Westminster Pl, Stuart, FL 34997-5500 | 2014-07-02 |
| 1558781799 | Melissa Garcia Ramos | Speech-Language Pathologist | 8835 Sw Bonneville Dr, Stuart, FL 34997-1206 | 2014-04-25 |
| 1447690086 | Tanya Hurley Vickers | Speech-Language Pathologist | 957 Se Fleming Way, Stuart, FL 34997-1548 | 2013-06-27 |
| 1144574542 | Deirdre Kristine Robinson | Speech-Language Pathologist | 850 Nw Federal Hwy Ste 110, Stuart, FL 34994 | 2012-11-07 |
| Find all providers in STUART | ||||
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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.