Individual provider Active NPI

Shelly Anna Howard, MS.CCC-SLP

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1053306696
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19373 Issued in TX
Practice address
12700 Hillcrest Rd
Suite 207
Dallas, TX 75230-2033
Phone
(972) 387-2824
Fax
(972) 387-9097
NPI assigned
Sep 20, 2005
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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 19373 TX Primary

Addresses

Primary practice location

12700 Hillcrest Rd
Suite 207
Dallas, TX 75230-2033

Mailing address

12700 Hillcrest Rd
Suite 207
Dallas, TX 75230-2033
Phone (972) 387-2824

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

State licenses

LicenseStateTypeSpecialty
19373TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bliss Speech and Hearing Services, Inc. Speech-Language Pathologist PastSince Jan 22, 2024 Accepting new patients

Organizations & group practices 1

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1053306696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 HILLCREST RD",
            "address_2": "SUITE 207",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302033",
            "telephone_number": "972-387-2824",
            "fax_number": "972-387-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 HILLCREST RD",
            "address_2": "SUITE 207",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302033",
            "telephone_number": "972-387-2824",
            "fax_number": "972-387-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "SHELLY",
        "middle_name": "ANNA",
        "credential": "MS.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.