Individual provider Active NPI

Shelby Marie Sanders, CCC-SLP

  • Speech-Language Pathologist
  • Spring Hill, TN
National Provider Identifier
1033774666
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6506 Issued in TN
Practice address
3011 Longford Dr Ste 4
Spring Hill, TN 37174-6203
Phone
(615) 241-0122
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 6506 TN Primary

Addresses

Primary practice location

3011 Longford Dr Ste 4
Spring Hill, TN 37174-6203

Mailing address

3011 Longford Dr Ste 4
Spring Hill, TN 37174-6203
Phone (615) 241-0122

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6506TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Therapies LLC Speech-Language Pathologist CurrentSince Aug 12, 2024 Accepting new patients
Speech Language & Learning Center of TN Speech-Language Pathologist Past Accepting new patients
The Speech Language & Learning Center LLC Speech-Language Pathologist Past Accepting new patients

Locations

3011 Longford Dr
Ste 4
Spring Hill, TN 37174
Phone (615) 241-0122

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1033774666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 LONGFORD DR STE 4",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371746203",
            "telephone_number": "615-241-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 LONGFORD DR STE 4",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371746203",
            "telephone_number": "615-241-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SHELBY",
        "middle_name": "MARIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.