Individual provider Active NPI

Shelby Nation

  • Speech-Language Pathologist
  • New Castle, IN
National Provider Identifier
1124435441
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
46002635A Issued in IN
Practice address
3518 Innsdale Dr
New Castle, IN 47362-1700
Phone
(765) 644-0500
Fax
(765) 644-0510
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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 46002635A IN Primary

Addresses

Primary practice location

3518 Innsdale Dr
New Castle, IN 47362-1700

Mailing address

3518 Innsdale Dr
New Castle, IN 47362-1700
Phone (765) 644-0500

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
46002635AINMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1124435441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 INNSDALE DR",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473621700",
            "telephone_number": "765-644-0500",
            "fax_number": "765-644-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 INNSDALE DR",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473621700",
            "telephone_number": "765-644-0500",
            "fax_number": "765-644-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATION",
        "first_name": "SHELBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46002635A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.