Lori C Shamblen, SPEECH LANGUAGE PATH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0626 Issued in WV

Practice address

1313 Dunbar Avenue
Dunbar, WV 25064

Phone

(304) 768-3307

Fax

(304) 768-3620

NPI assigned

Nov 30, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Settlement Physical TherapyGroup PAC ID 7113914631, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• First Settlement Physical Therapy

  • Physical Therapy Clinic/Center
  • Vienna, WV
  • NPI 1780634246
  Medicare reassignment Care Compare group
• First Settlement Phycial Therapy

  • Physical Therapist
  • Beckley, WV
  • NPI 1619763547
  NPD
• First Settlement Physical Therapy

  • Physical Therapy Clinic/Center
  • Parkersburg, WV
  • NPI 1821049305
  NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174691190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 DUNBAR AVENUE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "25064",
            "telephone_number": "304-768-3307",
            "fax_number": "304-768-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 DUNBAR AVENUE",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "25064",
            "telephone_number": "304-768-3307",
            "fax_number": "304-768-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBLEN",
        "first_name": "LORI",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "SPEECH LANGUAGE PATH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP0626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206427000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9400083000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scooter Store - West Virginia LLC
• Alisha Scott
• Pamela Scritchfield
• Jeremy Lee Seacrist
• Nicholas Shalhoup, DDS
• Terri Sherrod
• Jennifer Lynn Shirley, P.T.A
• Jacqueline Lloydette Shivley-Castle, COTA/L
• Alexandria Shoffner
• Christopher Shane Shreve, MD

• Speech-Language Pathologist in Dunbar, WV
• Providers in Dunbar, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.