Shannon Marie Poppe Grabinger, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7381 Issued in MN

Practice address

6345 Eagle Lake Dr
Maple Grove, MN 55369-6209

Phone

(612) 236-7369

NPI assigned

Jan 23, 2008

Last updated

May 5, 2010By 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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1538346481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 EAGLE LAKE DR",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696209",
            "telephone_number": "612-236-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 EAGLE LAKE DR",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696209",
            "telephone_number": "612-236-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPE GRABINGER",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "7381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Ann Plourde, PA-C
• Sarbani Podder
• Leslie Nicole Pohl, BAN, RN, PHN, SANE
• Pete Albert Pooler, MD
• Kathryn Popp, CPNP
• Heather Porter, PT
• Christine Nicole Poska, PA-C
• Lynn M Powers, PHD
• Prairie River Home Care
• Prairiecare

• Speech-Language Pathologist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.