SHANNON M COOPER (NPI# 1770711319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770711319 |
| Entity Type | Individual |
| Full Name | SHANNON M COOPER |
| Credential | SLP |
| Practice Address |
802 Magnolia Ave Suite 107 Corona CA 92879-3104 |
| Mailing Address |
1230 E Washington St Suite Pa-2 Colton CA 92324-6450 |
| Practice Telephone | 9513400070 |
| Practice Fax Number | 9513409188 |
| Mailing Telephone | 9098256716 |
| Mailing Fax Number | 9098254339 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 17434 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174003404 | Shannon Denise Cooper | Registered Nurse | 8029 Dusty Way, Fort Worth, TX 76123-1915 | 2018-08-16 |
| 1417345257 | Shannon Cooper | Case Manager/Care Coordinator | 10602 Bracken Branch Ct, Louisville, KY 40223-3704 | 2015-01-01 |
| 1467903021 | Shannon Cooper | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201 | 2016-10-19 |
| 1154735959 | Shannon Cooper | Registered Nurse | 111 Westfall Rd, Rochester, NY 14620-4647 | 2014-06-19 |
| Street Address |
802 MAGNOLIA AVE SUITE 107 |
| City | CORONA |
| State | CA |
| Zip Code | 92879-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568464048 | Farough Owiesy | Emergency Medicine | 802 Magnolia Ave, Suite #106, Corona, CA 92879-3125 | 2005-08-13 |
| 1467067033 | Kylie Lei Patrick | Behavioral Analyst | 802 Magnolia Ave, Corona, CA 92879-3104 | 2020-09-10 |
| 1609401314 | Crystal Yisel Valiente | Behavior Technician | 802 Magnolia Ave, Corona, CA 92879-3104 | 2020-03-03 |
| 1376102541 | Jada Carmichael | Behavior Technician | 802 Magnolia Ave, Corona, CA 92879-3104 | 2019-06-11 |
| 1073093209 | Miriam Doreen Torres | Behavioral Analyst | 802 Magnolia Ave, Corona, CA 92879-3104 | 2018-08-16 |
| 1164923306 | Hajara Azeem | Behavior Technician | 802 Magnolia Ave, Corona, CA 92879-3104 | 2018-02-23 |
| 1548761521 | Brynn Burciaga | Behavior Technician | 802 Magnolia Ave, Corona, CA 92879-3104 | 2018-02-23 |
| 1225579279 | Rebecca John | Nurse Practitioner | 802 Magnolia Ave, Ste 205, Corona, CA 92879-3104 | 2017-03-09 |
| 1841655099 | Algos Inc., A Medical Corporation | Psychologist | 802 Magnolia Ave, Suite 206, Corona, CA 92879-3104 | 2015-12-15 |
| 1447622048 | Brianna Segura | Behavioral Analyst | 802 Magnolia Ave, Suite 200, Corona, CA 92879-3104 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| 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 |
|---|---|---|---|---|
| 1477164184 | Heidi Wheat Francom | Speech-Language Pathologist | 2732 Ridgeline Dr # J203, Corona, CA 92882-8762 | 2020-08-14 |
| 1134748890 | Hannah Nanson | Speech-Language Pathologist | 2969 Coral St, Corona, CA 92882-6169 | 2020-04-13 |
| 1659902401 | Kristina Kundinova Slp PC | Speech-Language Pathologist | 9602 57th Ave Apt 10m, Corona, NY 11368-3428 | 2020-01-30 |
| 1164086732 | Kristen Marie Gunning | Speech-Language Pathologist | 4318 97th Pl, Corona, NY 11368-4380 | 2019-04-29 |
| 1376019653 | Francesca Scrozzo | Speech-Language Pathologist | 9811 44th Ave, Corona, NY 11368-2461 | 2018-10-15 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1518473396 | Jenifer Ayn Parker Lopez | Speech-Language Pathologist | 3940 Holly Springs Dr, Corona, CA 92881-8214 | 2017-12-15 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1891209425 | Rebecca Leigh Blatz | Speech-Language Pathologist | 785 Yorkshire Way, Corona, CA 92879-3143 | 2017-11-17 |
| 1205296498 | Kimberly Camba | Speech-Language Pathologist | 632 Shadybrook Ln # N102, Corona, CA 92879-6554 | 2016-03-01 |
| Find all providers in CORONA | ||||
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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.