Amy Lee Shell, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146014369 Issued in IL

Practice address

1119 Mississippi Ave Apt 325
Saint Louis, MO 63104-2454

Phone

(314) 607-0302

Fax

(888) 893-5180

NPI assigned

Aug 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1154847572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 MISSISSIPPI AVE APT 325",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042454",
            "telephone_number": "314-607-0302",
            "fax_number": "888-893-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 MISSISSIPPI AVE APT 325",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042454",
            "telephone_number": "314-607-0302",
            "fax_number": "888-893-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELL",
        "first_name": "AMY",
        "middle_name": "LEE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2018036001",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146014369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Jennese Shelby, LPN
• Sharita R Shelby, M.A.,LPC
• Jaime Shelden
• Sheldon & Sheldon DMD PA
• Doxey Ransom Sheldon, DMD
• Jason R Shell, CPS, HRS
• Laura Shellaberger, ATC
• Joshua Michael Shelley, CRNA
• Jason Scott Shellhaas, MD
• Renee Adele Shellhaas, MD

• Speech-Language Pathologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.