| Shannon Nicole King, MS | |
|
330 Madison Ave S Ste 106, Bainbridge Island, WA 98110-2544 | |
| (206) 451-3084 | |
| Not Available |
| Full Name | Shannon Nicole King |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 330 Madison Ave S Ste 106, Bainbridge Island, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275088627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | LL60698639 (Washington) | Primary |
| Provider Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Nicole King, MS 1400 Pottery Ave, Port Orchard Medical Center, Port Orchard, WA 98366-3768 Ph: (360) 895-5000 | Shannon Nicole King, MS 330 Madison Ave S Ste 106, Bainbridge Island, WA 98110-2544 Ph: (206) 451-3084 |
Bridget Dincher, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 330 Madison Ave S, Bainbridge Island, WA 98110 Phone: 206-348-3829 | |
Brenda Austin, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6186 Ne Lariat Loop, Bainbridge Island, WA 98110 Phone: 651-353-1171 | |
Ms. Patricia Cahill Haelsig, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11290 Sunrise Dr Ne, Bainbridge Island, WA 98110 Phone: 206-780-7782 | |
Madison Kay Pass, SLP-CFY Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 330 Madison Ave S Ste 106, Bainbridge Island, WA 98110 Phone: 206-451-4308 | |
Mary Phyllis Jensen, CCC-SLP, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4690 Ne North Tolo Rd, Bainbridge Island, WA 98110 Phone: 206-913-3236 | |
Terren Yvon Lansdaal, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 330 Madison Ave S, Bainbridge Island, WA 98110 Phone: 206-451-4308 | |
Miller Speech/language Pathology, Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11837 Venice Loop Ne, Bainbridge Island, WA 98110 Phone: 206-979-4034 |