Active NPI
Shelby L Deshetler, SLP
- Speech-Language Pathologist
- Adrian, MI
National Provider Identifier
1093242588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12519
- Practice address
- 1277 E Siena Heights Dr
Adrian, MI 49221-1755 - Phone
- (175) 266-3641
- NPI assigned
- May 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12519 | OH | Primary |
Addresses
Primary practice location
1277 E Siena Heights Dr
Adrian, MI 49221-1755
Mailing address
1800 W US Highway 223 Ste 100
Adrian, MI 49221-8439
Phone (517) 263-3378
Other practice location 1
3160 Central Park W
Toledo, OH 43617-1083
Phone (419) 841-1840
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12519 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Dynamics, Inc. | Speech-Language Pathologist | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1093242588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W US HIGHWAY 223 STE 100",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492218439",
"telephone_number": "517-263-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 E SIENA HEIGHTS DR",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211755",
"telephone_number": "175-266-3641"
}
],
"practiceLocations": [
{
"address_1": "3160 Central Park W",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436171083",
"country_code": "US",
"telephone_number": "419-841-1840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESHETLER",
"first_name": "SHELBY",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-16",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "12519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.