Melissa Shedden, SLP INTERN

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6686 Issued in SC

Practice address

27 Boardman Rd
Charleston, SC 29407-3722

Phone

(843) 200-9600

Fax

(843) 872-0511

NPI assigned

Nov 3, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Bloom and Grow Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Charleston, SC
  • NPI 1124764535
  NPD Authorized official

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

{
    "created_epoch": "1541203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541203200000",
    "number": "1154899573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BOARDMAN RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073722",
            "telephone_number": "843-200-9600",
            "fax_number": "843-872-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BOARDMAN RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073722",
            "telephone_number": "843-200-9600",
            "fax_number": "843-872-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEDDEN",
        "first_name": "MELISSA",
        "credential": "SLP INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-03",
        "last_updated": "2018-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue E Shealy, MSW
• Jessica Marie Shearer, NNP
• Mary Elizabeth Shearer, DNP
• Gabrielle Johnston Shebiro, PA-C
• Robert Jay Shebiro, DO
• Sarah Sheehan
• Benjamin Franklin Sheftall, DMD
• Shelbourne & Associates Oral and Facial Surgery
• Courtney W Shelbourne, DMD
• William Harrison Shelley III, M.D.

• Speech-Language Pathologist in Charleston, SC
• Providers in Charleston, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2018; 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.