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SHANNON MARIE TYLER
NPI 1285963298
Specialist/Technologist - Speech-Language Assistant in Winthrop, ME

Active since December 22, 2009
28 N HERITAGE WOODS LN, WINTHROP, ME 04364(207) 377-2472(207) 377-2472 Get Directions Write a Review

NPPES record last updated: December 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Marie Tyler NPPES

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

SHANNON MARIE TYLER (NPI 1285963298) is an individual speech-language assistant in Winthrop, Maine, licensed in Maine (SAS1421) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1285963298
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameSHANNON MARIE TYLER
Location Address28 N HERITAGE WOODS LNWinthrop, ME 04364-3240
Mailing Address69 Cony RdAugusta, ME 04330-0500
Phone(207) 377-2472
Fax(207) 377-2472
Sole ProprietorYes
Enumeration DateDecember 22, 2009
✔ NPI 1285963298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
License✔ Licensed in ME · SAS1421
28 N HERITAGE WOODS LN, Winthrop, ME 04364
Open in Google Maps ↗

Other Identifiers 1

Medicaid266450099ME

Other Providers at the Same Location NPPES

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

LYNDA J. MAZZOLA S-L PATHOLOGIST PC
Speech-Language Pathologist
28 N HERITAGE WOODS LN
WINTHROP, ME 04364
Kennebec County (207) 377-2472

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 Tyler's NPI number?

The NPI number for Shannon Tyler is 1285963298. It was assigned to this individual provider in the NPPES registry on December 22, 2009.

Where is Shannon Tyler located?

Shannon Tyler practices at 28 N Heritage Woods Ln, Winthrop, ME 04364. The listed phone number is (207) 377-2472.

What is Shannon Tyler's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Shannon Tyler was last updated on December 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.