Shannon Bayne, SPEECH/LANG PATH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202003993 Issued in VA

Practice address

600 Jackson St
Fredericksburg, VA 22401

Phone

(540) 373-3223

NPI assigned

Oct 4, 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750477238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 LANCASTER RING ROAD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-710-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JACKSON ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-373-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYNE",
        "first_name": "SHANNON",
        "credential": "SPEECH/LANG PATH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "243017",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "036802",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHKEEP",
            "identifier": "192571",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamika Denise Batten, PT
• Battlefield Dental of Fredericksburg, Inc.
• Harold C Bautista, M.D.
• James Clayton Bavinger, MD
• Ruthanne Baxter, MED, BCBA, LBA
• Fisseha Bayou, M.D.
• Mary Margaret Margaret Baysden
• Bea, LLC
• Mary Frances Beach, RPH
• Raymond Joseph Beach, D.C.

• Speech-Language Pathologist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.