Individual provider Active NPI

Shelby Bray Ryerson

  • Speech-Language Pathologist
  • Oakland, CA
National Provider Identifier
1073464095
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
40234 Issued in CA
Practice address
11900 Campus Dr
Oakland, CA 94619-3104
Phone
(510) 531-4900
NPI assigned
Feb 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 40234 CA Primary

Addresses

Primary practice location

11900 Campus Dr
Oakland, CA 94619-3104

Mailing address

560 Centre CT
Alameda, CA 94502-6559
Phone (925) 785-5920

Other practice location 1

8755 Fontaine St
Oakland, CA 94605-4141
Phone (510) 879-5166

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

NPI Registry JSON

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1073464095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 CENTRE CT",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945026559",
            "telephone_number": "925-785-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 CAMPUS DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946193104",
            "telephone_number": "510-531-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8755 Fontaine St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946054141",
            "country_code": "US",
            "telephone_number": "510-879-5166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYERSON",
        "first_name": "SHELBY",
        "middle_name": "BRAY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "40234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.