Individual provider Active NPI

Rachel Leanna Shewbart, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Jasper, AL
National Provider Identifier
1124540422
Registry record updated Jul 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4107 Issued in AL
Practice address
710 Highway 78 W
Jasper, AL 35501-3750
Phone
(205) 295-5062
NPI assigned
Jul 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2017

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 4107 AL Primary

Addresses

Primary practice location

710 Highway 78 W
Jasper, AL 35501-3750

Mailing address

238 Outers Rd
Hamilton, AL 35570-4918

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4107ALMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1499558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499558400000",
    "number": "1124540422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 OUTERS RD",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355704918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 HIGHWAY 78 W",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013750",
            "telephone_number": "205-295-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEWBART",
        "first_name": "RACHEL",
        "middle_name": "LEANNA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-09",
        "last_updated": "2017-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "4107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2017; 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.