Shannon Mary Baurichter, M.S. SLP, M.A. ED.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60174701 Issued in WA

Practice address

1230 Bay St
Port Orchard, WA 98366

Phone

(206) 491-9195

Fax

(360) 329-7828

NPI assigned

Oct 8, 2009

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

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.

• Harbor Speech Pathology, PS

  • Speech-Language Pathologist
  • Gig Harbor, WA
  • NPI 1780917062
  NPD (past)

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1669707626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 BAY ST",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665214",
            "telephone_number": "206-491-9195",
            "fax_number": "360-329-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BAY ST",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "206-491-9195",
            "fax_number": "360-329-7828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Point Fosdick Dr NW",
            "address_2": "Suite 213",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983351706",
            "country_code": "US",
            "telephone_number": "253-851-0007",
            "fax_number": "253-853-6922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAURICHTER",
        "first_name": "SHANNON",
        "middle_name": "MARY",
        "credential": "M.S. SLP, M.A. ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI60113015",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60174701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Kauilani Barretto, BCBA
• Maureen Barta
• Dana Marie Bassen, LMP
• James Richard Bates, M.D.
• Deann Sue Bauer
• Martina Bautista, LPN
• Stuart Martin Beasley, CO60961854
• Mary Ann Beberman, LMT
• Kelli Ann Beckman
• Behavior Changes LLC

• Speech-Language Pathologist in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.