SHANNON CORMIER (NPI# 1962596429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962596429 |
| Entity Type | Individual |
| Full Name | SHANNON CORMIER |
| Credential | M.S., CCC-SLP |
| Practice Address |
4403 Mallard Lane Conway AR 72034 |
| Practice Telephone | 5018048770 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 12027998 | Speech, Language and Hearing Service Providers | |
| Y | 235Z00000X | Speech-Language Pathologist | SP#1908 | AR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 5X227 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174859102 | Shannon E Cormier | Physical Therapist | 1025 Morehead Medical Dr, Charlotte, NC 28204-2963 | 2009-10-27 |
| Street Address |
4403 MALLARD LANE |
| City | CONWAY |
| State | AR |
| Zip Code | 72034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| 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 |
|---|---|---|---|---|
| 1477163871 | Bailey Kennedy | Speech-Language Pathologist | 1008 E Oak St, Conway, AR 72032-4726 | 2020-07-31 |
| 1265041545 | Eliza Adcock | Speech-Language Pathologist | 814 Watkins St, Conway, AR 72034-5152 | 2020-07-23 |
| 1649897695 | Shelly Beth Wier | Speech-Language Pathologist | 2545 Little Caney Dr, Conway, AR 72032-8920 | 2020-06-25 |
| 1427674571 | Communication Connection, Inc. | Speech-Language Pathologist | 5265 Burnt Pine, Conway, AR 72034-3461 | 2020-06-24 |
| 1578102901 | Stephanie Nicole Ellis | Speech-Language Pathologist | 1101 Museum Rd Ste 7, Conway, AR 72032-8580 | 2020-01-02 |
| 1467010462 | Nicole Wilson Slough | Speech-Language Pathologist | 2220 Prince St, Conway, AR 72034-3750 | 2019-06-04 |
| 1194282376 | Lori Ann Hyde | Speech-Language Pathologist | 209 S Shiloh Ave, Conway, MO 65632-8238 | 2019-02-25 |
| 1649748682 | Reach Therapy Services LLC | Speech-Language Pathologist | 720 Bristol Ln, Conway, AR 72034-8502 | 2018-11-07 |
| 1427531748 | Sydney Laine Bailey | Speech-Language Pathologist | 1629 South Blvd, Conway, AR 72034-6452 | 2018-09-12 |
| 1003323940 | Leslie Marie Harris | Speech-Language Pathologist | 2207 Arkansas Ave, Conway, AR 72034-3104 | 2017-12-31 |
| Find all providers in CONWAY | ||||
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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.