Shannon Rose, is a
Speech-language Pathologist based in Corralitos, California. Shannon Rose is licensed to practice in California (license number 12783) and her current practice location is
662 Hazel Dell Rd, Corralitos, California. She can be reached at her office (for appointments etc.) via phone at
(831) 755-2585.
NPI number for Shannon Rose is 1427113125 and her current mailing address is 1022 Cedar Gables Dr, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427113125.
Healthcare Provider's Profile
Full Name | Shannon Rose |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 662 Hazel Dell Rd, Corralitos, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427113125
- Provider Enumeration Date: 12/25/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Shannon Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427113125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 12783 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Rose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Rose, 1022 Cedar Gables Dr, San Jose, CA 95118-3760 Ph: (408) 313-6239 | Shannon Rose, 662 Hazel Dell Rd, Corralitos, CA 95076-0313 Ph: (831) 755-2585 |
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