Individual provider Active NPI

Casey Engebretsen Shell, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Madison, AL
National Provider Identifier
1245401918
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2708 Issued in AL
Practice address
375 Mount Zion Rd
Madison, AL 35757-7725
Phone
(256) 274-1885
Fax
(888) 972-4982
NPI assigned
Mar 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2708 AL Primary

Addresses

Primary practice location

375 Mount Zion Rd
Madison, AL 35757-7725

Mailing address

163 Joe Phillips Rd
Madison, AL 35758-9769
Phone (562) 274-1885

Other practice location 1

163 Joe Phillips Rd
Madison, AL 35758-9769
Phone (256) 274-1885

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Shell Speech Services, LLC Speech-Language Pathologist PastSince Sep 4, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1245401918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 JOE PHILLIPS RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589769",
            "telephone_number": "562-274-1885",
            "fax_number": "888-972-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 MOUNT ZION RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357577725",
            "telephone_number": "256-274-1885",
            "fax_number": "888-972-4982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Joe Phillips Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357589769",
            "country_code": "US",
            "telephone_number": "256-274-1885",
            "fax_number": "888-972-4982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELL",
        "first_name": "CASEY",
        "middle_name": "ENGEBRETSEN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.