Active NPI
Casey Engebretsen Shell, M.S., CCC-SLP
- Speech-Language Pathologist
- Madison, AL
National Provider Identifier
1245401918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2708
- 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
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 | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shell Speech Services, 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Madison, AL
- NPI 1043138985
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.