Edith H Shetler, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1334 Issued in NE

Practice address

1213 Garlfied Ave
Harlan, IA 51537

Phone

(712) 755-4243

Fax

(712) 755-4513

NPI assigned

Jul 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Procare3, Inc.

  dba Fyzical Therapy and Balance Centers

  • Rehabilitation Practitioner
  • Omaha, NE
  • NPI 1942266945
  NPD (past)

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1043449168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 GARLFIELD AVE.",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "51537",
            "telephone_number": "712-755-4342",
            "fax_number": "712-755-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 GARLFIED AVE",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "51537",
            "telephone_number": "712-755-4243",
            "fax_number": "712-755-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETLER",
        "first_name": "EDITH",
        "middle_name": "H",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1334",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "1941",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby County Chris a. Myrtue Memorial Hospital (Myrtue Medical Center)
• Shelby County Chris a. Myrtue Memorial Hospital (Myrtue Medical Center - Behavioral Health)
• Shelby County Chris a. Myrtue Memorial Hospital (Myrtue Medical Center Public Health)
• Shelby County Chris a. Myrtue Memorial Hospital (Myrtue Medical Center)
• Shelby County Physical Therapy, Inc.
• Alison D Shields, D.D.S.
• Shopko Stores Operating Co LLC (Shopko Pharmacy 682)
• Denise N Smith, LMHC, NCC
• Katrina Lee Smith, LMHC
• Jean R Stamp, A.R.N.P.

• Speech-Language Pathologist in Harlan, IA
• Providers in Harlan, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.