SHANNON MICHELE LASALLE (NPI# 1700301488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700301488 |
| Entity Type | Individual |
| Full Name | SHANNON MICHELE LASALLE |
| Credential | SLP |
| Practice Address |
2800 Estates Dr Fairfield CA 94533-9712 |
| Mailing Address |
3859 Red Lion Rd Philadelphia PA 19114-1402 |
| Practice Telephone | 7074321100 |
| Mailing Telephone | 2678250683 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
2800 ESTATES DR |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-9712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679508162 | Northern California Retired Officers Community | Skilled Nursing Facility | 2800 Estates Dr, Fairfield, CA 94533-9712 | 2006-07-12 |
| 1639596570 | Cecilia Anne Shipps | Specialist | 2800 Estates Dr, Fairfield, CA 94533-9712 | 2014-03-27 |
| 1053698977 | Cynthia Alice Nolan | Specialist | 2800 Estates Dr, Fairfield, CA 94533-9712 | 2011-11-06 |
| 1942436423 | Sabrina Mariano-martin | Occupational Therapist | 2800 Estates Dr, Fairfield, CA 94533-9712 | 2009-06-10 |
| 1073788287 | Stephanie Leigh Westfahl | Occupational Therapist | 2800 Estates Dr, Laurel Creek Health Care At Paradise Valley Estates, Fairfield, CA 94533-9712 | 2008-04-29 |
| 1104095355 | Susvir T Sahota | Speech-Language Pathologist | 2800 Estates Dr, Fairfield, CA 94533 | 2008-02-21 |
| 1043488471 | Amber Rachelle Sparks | Physical Therapist | 2800 Estates Dr, Rehab Dept, Fairfield, CA 94533-9712 | 2008-02-19 |
| 1639357098 | Lauren Veronica Robson | Occupational Therapist | 2800 Estates Dr, Fairfield, CA 94533-9712 | 2008-02-07 |
| 1609053560 | Christy Lynn Danila | Physical Therapist | 2800 Estates Dr, Fairfield, CA 94533 | 2008-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| 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 |
|---|---|---|---|---|
| 1972119253 | Katie Liston | Speech-Language Pathologist | 1804 County Road 445 N, Fairfield, IL 62837-2973 | 2020-09-22 |
| 1235750621 | Alyson Samson | Speech-Language Pathologist | 3406 Waterbury Way, Fairfield, CA 94534-2940 | 2020-04-27 |
| 1215557541 | Taylor Made Speech Pathology Services | Speech-Language Pathologist | 1234 Empire St Ste 1450, Fairfield, CA 94533-5711 | 2020-04-16 |
| 1326673062 | Jobin Manuel | Speech-Language Pathologist | 1233 Swan Lake Dr, Fairfield, CA 94533-8137 | 2020-03-03 |
| 1376175315 | Sarah Jo Chaney | Speech-Language Pathologist | 402 W Burlington Ave, Ste 200, Fairfield, IA 52556 | 2020-02-07 |
| 1225669856 | Kashala Smith-tavaris | Speech-Language Pathologist | 60 Katona Dr Ste 24, Fairfield, CT 06824-3544 | 2020-02-02 |
| 1942766704 | Colleen Marie Osorio Hernandez | Speech-Language Pathologist | 50 Potters Ln, Fairfield, CT 06824-3113 | 2019-02-18 |
| 1346704269 | Laura Dodd | Speech-Language Pathologist | 3700 Lyon Rd Apt 86, Fairfield, CA 94534-7980 | 2019-01-24 |
| 1053807628 | Kaitlyn Boorin | Speech-Language Pathologist | 55 Walls Dr Ste 204, Fairfield, CT 06824-5163 | 2018-07-07 |
| 1639672264 | Haley Madison Hull | Speech-Language Pathologist | 5184 Gordon Valley Rd, Fairfield, CA 94534-9753 | 2018-03-09 |
| Find all providers in FAIRFIELD | ||||
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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.