Abigail Grace Shelton, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL61110974 Issued in WA

Practice address

319 S Cedar St
Spokane, WA 99201-7029

Phone

(509) 209-7429

Fax

(509) 340-9942

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sonny Physical Therapy LLC 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sonny Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Hayden, ID
  • NPI 1992235816

  WA

  Medicare reassignment Care Compare group NPD
• SSPT Clinic

  • Occupational Therapist
  • Spokane, WA
  • NPI 1841735834

  Speech-Language Pathologist

  NPD (past)
• Stepping Stones Pediatric Therapy

  • Pediatric Occupational Therapist
  • Spokane, WA
  • NPI 1427221761
  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1124628326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S CEDAR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017029",
            "telephone_number": "509-209-7429",
            "fax_number": "509-340-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S CEDAR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017029",
            "telephone_number": "509-209-7429",
            "fax_number": "509-340-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "ABIGAIL",
        "middle_name": "GRACE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61110974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LL61110974",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher M Sheller
• Tye Leigh Sheller
• Gary Michael Shellerud, DDS, PERIODONTIST
• Stephanie Ann Shelley, RPH, CGP, CACP
• Katherine Rose Shellorne, L.M.P.
• Brooke Shelton, SLP
• Judd Preston Shelton, D.O.
• Mariedilia Shelton
• Shawna M. Shelton, M.ED., M.S., LMHC
• Arvind Michael Shenoy, M.D.

• All providers in Spokane, WA
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.