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Active NPI 1366931776 Individual Practitioner Female Practitioner

Shannon Smith Cockram , MS CCC-SLP

Speech-Language Pathologist • Stuart, VA

Professional Overview & Biography Verified Profile Summary

Shannon Cockram, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Stuart, VA. Practice services are available at 104 RUCKER ST. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

104 Rucker St.

Stuart, VA 24171

Telephone 2766943163
Fax 2766943170
Associated Practice Facility / Clinic
🏢 Patrick County Public Schools Facility NPI 1750461059

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Stuart, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Stuart, VA (4974 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2203000475

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Renee Overby

Psychologist - School

NPI 1548758998
India Kahle , COTA, L

Occupational Therapy Assistant

NPI 1639932395

Certified Occupational Therapy Assistant, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2018

Registered at 104 RUCKER ST., STUART, VA 24171 (Tel: 2766943163)

📍
Updated Business Mailing Address May 02, 2018

Registered at 433 WIDGEON CREEK RD, WOOLWINE, VA 241853602 (Tel: 2766926054)

👤
Provider Name / Credentials Updated May 02, 2018

Recorded as SHANNON COCKRAM, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2018

Speech-Language Pathologist (License #2203000475 in VA)

🟢
Initial NPI Registration & Enumeration May 02, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1366931776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2018
Last Update: May 02, 2018
Sole Proprietor: Yes

Mailing Address

433 Widgeon Creek Rd

Woolwine, VA 241853602

Phone: 2766926054

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.