Shelby McAllum, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14825 Issued in TX

Practice address

1052 E Washington St
Stephenville, TX 76401-4558

Phone

(254) 965-3611

NPI assigned

Dec 8, 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

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.

• Countryside Therapy Group Home Health, LLC

  • Home Health Agency
  • Stephenville, TX
  • NPI 1952713869
  NPD (past)
• Countryside Therapy Group, Inc

  • Rehabilitation Clinic/Center
  • Stephenville, TX
  • NPI 1710999289

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1215097662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 VAUGHN DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285117",
            "telephone_number": "817-426-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 E WASHINGTON ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764014558",
            "telephone_number": "254-965-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLUM",
        "first_name": "SHELBY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "14825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003593302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8465LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacen B Martinez
• Matthew C Maruska, DO
• Kathy Massie, SLP
• Shanna Mayfield, RNFA
• Allen Ramsey Mays, MAT, LAT
• Jillian Kaye McAngus, M.D.
• Madison McBride
• Ashton McCall-Ezell
• Charity McCright, ATC
• Breynia N McGee

• Speech-Language Pathologist in Stephenville, TX
• Providers in Stephenville, 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 Apr 18, 2013; 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.