SHANNON MICHELLE WATTERS M,A, CCC-SLP
NPI 1124225412
Speech-Language Pathologist in Bend, OR

Active since June 29, 2007
520 NW WALL ST, BEND, OR 97703(541) 355-6949 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2024, Apr 16, 2024 (2 updates tracked since 2024).

About Shannon Michelle Watters M,a, Ccc-slp NPPES

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

SHANNON MICHELLE WATTERS M,A, CCC-SLP (NPI 1124225412) is an individual speech-language pathologist provider in Bend, Oregon, licensed in Oregon (013099) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1124225412
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHANNON MICHELLE WATTERSCredential: M,A, CCC-SLP
Location Address520 NW WALL STBend, OR 97703-2608
Mailing Address520 Nw Wall StBend, OR 97703-2608 · (541) 355-6949
Sole ProprietorNo
Enumeration DateJune 29, 2007
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
NPI 1124225412 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 OR · 013099
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.

520 NW WALL ST, Bend, OR 97703

Other Names 1

Former Name (1)Shannon Poe

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.

Speech-Language Pathologist
520 NW WALL ST
BEND, OR 97703
Speech-Language Pathologist
520 NW WALL ST
BEND, OR 97703
Speech-Language Pathologist
520 NW WALL ST
BEND, OR 97703
Speech-Language Pathologist
520 NW WALL ST
BEND, OR 97703
Speech-Language Pathologist
520 NW WALL ST
BEND, OR 97703
Speech-Language Pathologist
520 NW WALL ST
BEND, OR 97703
Speech-Language Pathologist
520 NW WALL ST
BEND, OR 97703
Speech-Language Pathologist
520 NW WALL ST
BEND, OR 97703

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 Watters's NPI number?

The NPI number for Shannon Watters is 1124225412. It was assigned to this individual provider in the NPPES registry on June 29, 2007. The provider is also known as Shannon Poe.

Where is Shannon Watters located?

Shannon Watters practices at 520 NW Wall St, Bend, OR 97703. The listed phone number is (541) 355-6949.

What is Shannon Watters'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 Watters was last updated on May 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.