Gia Shannon

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.8980 Issued in OH

Practice address

4350 Allen Rd
Stow, OH 44224-1032

Phone

(330) 689-5200

NPI assigned

Oct 4, 2016

Last updated

Oct 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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

• Stow-Munroe Falls City School District

  • Local Education Agency (LEA)
  • Stow, OH
  • NPI 1083948160
  NPD (past)

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1164972097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 WILLIAMSBURG DR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242892",
            "telephone_number": "330-414-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 ALLEN RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241032",
            "telephone_number": "330-689-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "GIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.8980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin D Seislove, DPT
• Renee Jennifer Serino, INDEPENDENT PROVIDER
• Dannielle Sewell, RN
• David Shaffer
• Andrew Shahriari, PHD
• Timothy C Shanor, PT
• Mathivathani Shanti Eswaran
• Mary Sheehan, RPH
• Bryan David Shelley
• Michael A Shimmel, DC

• Speech-Language Pathologist in Stow, OH
• Providers in Stow, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.