Shae Lynne Tegrotenhuis, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

112164 Issued in IA

Practice address

1306 Highway 57 Ste B
Parkersburg, IA 50665-1075

Phone

(319) 346-9783

Fax

(319) 346-9785

NPI assigned

May 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shae Lynne Etherington Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taylor Physical Therapy Associates LLC 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Taylor Physical Therapy Associates LLC

  • Physical Therapist
  • Sumner, IA
  • NPI 1861591745

  IA

  Medicare reassignment Care Compare group NPD
• Taylor Physical Therapy Associates, LLC

  • Physical Therapist
  • Parkersburg, IA
  • NPI 1194052076

  Speech-Language Pathologist

  NPD
• Taylor Physical Therapy Assoc. LLC

  • Speech-Language Pathologist
  • Waverly, IA
  • NPI 1083474100
  NPD (past)

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1023700044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 HIGHWAY 57 STE B",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "506651075",
            "telephone_number": "319-346-9783",
            "fax_number": "319-346-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 HIGHWAY 57 STE B",
            "city": "PARKERSBURG",
            "state": "IA",
            "postal_code": "506651075",
            "telephone_number": "319-346-9783",
            "fax_number": "319-346-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGROTENHUIS",
        "first_name": "SHAE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "112164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAE",
            "last_name": "ETHERINGTON",
            "middle_name": "LYNNE",
            "credential": "M.A. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Sue Schoolman, ARNP
• Nicholas Tyler Strickler
• Kelsie Swisher, ARNP
• Taylor Physical Therapy Associates, LLC
• Team Together Mental Health Counseling, PLLC
• Libby Katrina Uhlenhopp, ARNP
• Unitypoint Health - Marshalltown
• Holly Wardlow, LMSW
• Molly Joan Wertz, LMHC
• Wood Vision Clinic Inc

• All providers in Parkersburg, IA
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.