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SHANNON ZIMMERMAN CCC-SLP
NPI 1336596626
Speech-Language Pathologist in Woodbury, MN

Active since May 17, 2016
2101 WOODDALE DR STE A, WOODBURY, MN 55125(651) 738-9888(651) 738-9889 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Jan 10, 2018, May 17, 2016 (3 updates tracked since 2016).

About Shannon Zimmerman Ccc-slp NPPES

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

SHANNON ZIMMERMAN CCC-SLP (NPI 1336596626) is an individual speech-language pathologist provider in Woodbury, Minnesota, licensed in Minnesota (9483) and active in the NPI registry since May 2016. She maintains a secondary practice location in Saint Cloud.

NPPES Registry Identity

NPI1336596626
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHANNON ZIMMERMANCredential: CCC-SLP
Location Address2101 WOODDALE DR STE AWoodbury, MN 55125-2933
Mailing Address2101 Wooddale Dr Ste AWoodbury, MN 55125-2933 · (651) 738-9888 · Fax (651) 738-9889
Phone(651) 738-9888
Fax(651) 738-9889
Sole ProprietorNo
Enumeration DateMay 17, 2016
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1336596626 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 MN · 9483
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.
2101 WOODDALE DR STE A, Woodbury, MN 55125
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Other Names 1

Former Name (1)Shannon Rudesill

Secondary Practice Location 1

Location 12835 W Saint Germain St, suite 300Saint Cloud, MN 56301-6280 · Phone (320) 259-4151 · Fax (320) 259-5707

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Zimmerman Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Shannon Zimmerman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Achievement Center Inc.
Same address
Occupational Therapist
2101 WOODDALE DR, SUITE A
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 59 clinicians in this Medicare group
NPI 1952411175 (651) 738-9888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JANA MARIE SMITH CCC/SLP
Speech-Language Pathologist
2101 WOODDALE DR STE A
WOODBURY, MN 55125
Washington County (651) 738-9888
HANNAH A HILLSTROM MA OTR/L
Occupational Therapist
2101 WOODDALE DR STE A
WOODBURY, MN 55125
Washington County (651) 738-9888
VERONICA ARENS OTR/L
Occupational Therapist
2101 WOODDALE DR STE A
WOODBURY, MN 55125
Washington County (651) 738-9888
JAYNA SHAY HIRD
Speech-Language Pathologist
2101 WOODDALE DR STE A
WOODBURY, MN 55125
Washington County (651) 738-9888
CHRISTINA HANSON
Occupational Therapist
2101 WOODDALE DR STE A
WOODBURY, MN 55125
Washington County (651) 738-9888
SARA ELAINE GOGINENI OTR/L
Occupational Therapist
2101 WOODDALE DR STE A
WOODBURY, MN 55125
Washington County (651) 738-9888
WENDY LEIGH BEATON-LANZ
Speech-Language Pathologist
2101 WOODDALE DR STE A
WOODBURY, MN 55125
Washington County (651) 738-9888
JULIE JORGENSEN
Speech-Language Pathologist
2101 WOODDALE DR STE A
WOODBURY, MN 55125
Washington County (651) 738-9888

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 Zimmerman's NPI number?

The NPI number for Shannon Zimmerman is 1336596626. It was assigned to this individual provider in the NPPES registry on May 17, 2016. The provider is also known as Shannon Rudesill.

Where is Shannon Zimmerman located?

Shannon Zimmerman practices at 2101 Wooddale Dr Ste A, Woodbury, MN 55125. The listed phone number is (651) 738-9888.

What is Shannon Zimmerman's specialty?

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

Is Shannon Zimmerman enrolled in Medicare?

Yes. Shannon Zimmerman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Zimmerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Zimmerman reassigns Medicare benefits to Family Achievement Center Inc. (Woodbury, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Zimmerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Zimmerman was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.