Active NPI
Sarah Shellard, CCC SLP
- Speech-Language Pathologist
- Rochester, NY
National Provider Identifier
1164987954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 031000
- Practice address
- 38 Schanck Ave
Rochester, NY 14609-7124 - Phone
- (585) 333-4770
- Fax
- (585) 625-0107
- NPI assigned
- Feb 5, 2019
- Last updated
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | 031000 | NY | Primary |
Addresses
Primary practice location
38 Schanck Ave
Rochester, NY 14609-7124
Mailing address
332 Biscayne Dr
Rochester, NY 14612-4241
Phone (585) 333-4770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031000 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nukleo-Syd LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1164987954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 BISCAYNE DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146124241",
"telephone_number": "585-333-4770",
"fax_number": "585-625-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 SCHANCK AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146097124",
"telephone_number": "585-333-4770",
"fax_number": "585-625-0107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLARD",
"first_name": "SARAH",
"credential": "CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "031000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.