Individual provider Active NPI

Jennifer Shelton

  • Speech-Language Pathologist
  • Sevierville, TN
National Provider Identifier
1023406881
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10822 Issued in OH
Practice address
1102 Medical Park CT
Sevierville, TN 37862-6933
Phone
(513) 662-5880
NPI assigned
Jan 2, 2015
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 10822 OH Primary

Addresses

Primary practice location

1102 Medical Park CT
Sevierville, TN 37862-6933

Mailing address

628 Gulfwood Rd
Knoxville, TN 37923-2214

Other names 1

  • Jennifer Hartings Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220602001727 TN Practitioner - Qualified Speech Language Pathologist 4385022334 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

Practice addresses (Care Compare)

1020 Charlie Daniels Pkwy
Mount Juliet, TN 37122-3064
Phone (877) 367-9772

1102 Medical Park CT
Sevierville, TN 37862-6933
Phone (865) 355-1764

230 Village Commons Blvd
Farragut, TN 37934-3825
Phone (865) 224-8774

2317 US Hwy 411 S
Maryville, TN 37801-8634
Phone (865) 264-3527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10822OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Jun 3, 2024 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Jun 3, 2024 Accepting new patients
Empowerme Rehabilitation, LLC Speech-Language Pathologist CurrentSince May 25, 2022 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Speech-Language Pathologist CurrentSince Jul 25, 2022 Accepting new patients
Empowerme Rehabilitation, LLC Speech-Language Pathologist CurrentSince May 25, 2022 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6765

110 Horizon Dr
#310
Raleigh, NC 27615

8155 Mentor Hills Dr
Mentor, OH 44060
Phone (440) 256-5200

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2849

1020 Charlie Daniels Pkwy
Mt Juliet, TN 37122
Phone (615) 758-4800

1102 Medical Park Ct
Sevierville, TN 37862
Phone (513) 662-5880

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1023406881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 GULFWOOD RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379232214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 MEDICAL PARK CT",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626933",
            "telephone_number": "513-662-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "10822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HARTINGS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.