Individual provider Active NPI

Shelby Brooke Jones, MS

  • Speech-Language Pathologist
  • La Habra, CA
National Provider Identifier
1033759055
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
29370 Issued in CA
Practice address
441 E Whittier Blvd
La Habra, CA 90631-3982
Phone
(562) 284-9632
NPI assigned
Jan 7, 2020
Last updated
Jan 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 29370 CA Primary

Addresses

Primary practice location

441 E Whittier Blvd
La Habra, CA 90631-3982

Mailing address

461 E Whittier Blvd
La Habra, CA 90631-3983

Other practice location 1

2757 Pine Creek Cir
Fullerton, CA 92835-2938
Phone (562) 284-9632

Other practice location 2

461 E Whittier Blvd
LA Habra, CA 90631-3983
Phone (562) 284-9632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1033759055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 E WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E WHITTIER BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313982",
            "telephone_number": "562-284-9632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2757 Pine Creek Cir",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928352938",
            "country_code": "US",
            "telephone_number": "562-284-9632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "461 E Whittier Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Habra",
            "state": "CA",
            "postal_code": "906313983",
            "country_code": "US",
            "telephone_number": "562-284-9632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHELBY",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "29370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.