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SHANNON WALLER
NPI 1053044537
Speech-Language Pathologist in Grand Rapids, MI

Active since July 02, 2022
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503(800) 528-8989 Get Directions Write a Review

NPPES record last updated: July 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Waller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON WALLER (NPI 1053044537) is an individual speech-language pathologist provider in Grand Rapids, Michigan, licensed in Michigan (7101001306) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1053044537
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHANNON WALLER
Location Address235 WEALTHY ST SEGrand Rapids, MI 49503-5247
Mailing Address235 Wealthy St SeGrand Rapids, MI 49503-5247 · (616) 840-8000
Phone(800) 528-8989
Sole ProprietorNo
Enumeration DateJuly 2, 2022
NPPES CertifiedJuly 1, 2022
✔ NPI 1053044537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MI · 7101001306
Definition
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.
235 WEALTHY ST SE, Grand Rapids, MI 49503
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Other Identifiers 1

Other7101001306MI · Lara (michigan)

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY MCINTOSH
Speech-Language Pathologist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 840-8000
JENNIFER LYNNE TAYLOR DPT
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 262-0299
LAUREN MALLORY PT, DPT
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 840-8000
ANNEKE DEVRIES SLP
Speech-Language Pathologist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 840-8000
ROSE BRITT RDN, CNSC
Dietitian, Registered
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 840-8156
BRENDAN VANDERMEULEN
Behavior Analyst
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 840-8000
JOHN HOUSKAMP MD
Internal Medicine
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 840-8000
TASHA FRANKS DPT
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 840-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Waller's NPI number?

The NPI number for Shannon Waller is 1053044537. It was assigned to this individual provider in the NPPES registry on July 2, 2022.

Where is Shannon Waller located?

Shannon Waller practices at 235 Wealthy St SE, Grand Rapids, MI 49503. The listed phone number is (800) 528-8989.

What is Shannon Waller's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Shannon Waller was last updated on July 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.