Shelby Mary Jacob

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

2111 W Swann Ave Ste 100
Tampa, FL 33606-2478

Phone

(813) 251-1618

NPI assigned

Dec 20, 2022

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kernaghan and Moore: Speech and Language Therapy Services, Inc.

  • Speech-Language Pathologist
  • New Port Richey, FL
  • NPI 1467693192
  Medicare reassignment NPD
• Kernaghan and Moore: Speech and Language Therapy Services, Inc.

  • Speech-Language Pathologist
  • Spring Hill, FL
  • NPI 1033888318
  NPD (past)

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1154033298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 CAMERON CREST DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W SWANN AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062478",
            "telephone_number": "813-251-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SHELBY",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minu Jacob, APRN
• Rina Mary Jacob, MSN, APRN, FNP-C
• Sally Ann Jacob, DMD
• Salvin Jacob, DO
• Sarah Youssef Jacob, PHARMD, BCPS, BS
• Lesley Yvonne Jacobs-Keeler, RD
• Dylan Jacobs, OTR/L
• John William Jacobs Jr., M.D.
• Kelly M Jacobs, RBT
• Lavaneseia C Jacobs

• Speech-Language Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.