Active NPI
Shelby Elizabeth Allen, CCC-SLP
- Speech-Language Pathologist
- Lawrenceville, GA
National Provider Identifier
1184241572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP011121
- Practice address
- 545 Old Norcross Rd Ste 200
Lawrenceville, GA 30046-3390 - Phone
- (678) 377-2833
- NPI assigned
- Jul 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP011121 | GA | Primary |
Addresses
Primary practice location
545 Old Norcross Rd Ste 200
Lawrenceville, GA 30046-3390
Mailing address
3355 McDaniel Rd Apt 2302
Duluth, GA 30096-8614
Phone (256) 656-9972
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 |
|---|---|---|---|
| SLP011121 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1184241572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 MCDANIEL RD APT 2302",
"city": "DULUTH",
"state": "GA",
"postal_code": "300968614",
"telephone_number": "256-656-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 OLD NORCROSS RD STE 200",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463390",
"telephone_number": "678-377-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "SHELBY",
"middle_name": "ELIZABETH",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-01",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP011121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.