Shannon L Kong, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP10617 Issued in CA

Practice address

100 Longbrook Way Ste 2
Pleasant Hill, CA 94523-7775

Phone

(510) 250-9199

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seven Bridges Speech Pathology Inc

  • Speech-Language Pathologist
  • Martinez, CA
  • NPI 1508309113
  NPD Authorized official
• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1003267196
  NPD (past)
• Sutter East Bay Medical Foundation

  • Clinical Medical Laboratory
  • Berkeley, CA
  • NPI 1831381623
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1083796601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LODGEPOLE CT",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533461",
            "telephone_number": "925-708-9020",
            "fax_number": "888-429-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LONGBROOK WAY STE 2",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945237775",
            "telephone_number": "510-250-9199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Ygnacio Valley Rd Ste B212",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945968209",
            "country_code": "US",
            "telephone_number": "510-639-2929",
            "fax_number": "888-429-1415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Pioneer Ct Ste P2",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944031736",
            "country_code": "US",
            "telephone_number": "415-469-4988",
            "fax_number": "888-429-1415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 High School Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945201857",
            "country_code": "US",
            "telephone_number": "925-708-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONG",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP10617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer D King, PHARMD
• Marilee King, LMFT
• Christopher Kirkpatrick, CADCII
• Ryan Kolakoski, PSYD
• Jacqueline Simcha Komisar
• Ryan Kopelowicz
• Lukas Kost, MD
• Yelena Krupitskaya, M.D.
• Dorothy A Kruse, MA, MFT
• KS Care Services, LLC (

• Speech-Language Pathologist in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.