Shelley D Tennyson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

105132 Issued in TX

Practice address

1800 Colt Cir
Marble Falls, TX 78654-4854

Phone

(830) 693-4357

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shelley D Warren Former name

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.

• Oak Grove R-6 School Distr

  • Local Education Agency (LEA)
  • Oak Grove, MO
  • NPI 1013104694

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1164615365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COLT CIR",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786544854",
            "telephone_number": "830-693-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COLT CIR",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786544854",
            "telephone_number": "830-693-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNYSON",
        "first_name": "SHELLEY",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2007018729",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "WARREN",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David D Swett Jr., MD
• Jeanet Tannous, M.D.
• Bryan Taylor, LSSP, LPC-S
• Mitzi Taylor, FNP
• Rodney Kent Teague, DDS
• Texas Cardiovascular Consultants, PA
• Texas Hill Country Home Care LLC
• Texas Home Health Group of Marble Falls, LLC
• Texas Orthopedics Sports & Rehabilitation Associates PA
• Griffith Mose Thomas, M.D.

• Speech-Language Pathologist in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.