Active NPI
Shelby Simmons
- Speech-Language Pathologist
- Suffolk, VA
National Provider Identifier
1275364184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202012460
- Practice address
- 7025 Harbour View Blvd
Suffolk, VA 23435-2761 - Phone
- (757) 974-8282
- NPI assigned
- Aug 12, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S-5388 | MS | |
| Speech-Language Pathologist | 235Z00000X | 2202012460 | VA | Primary |
Addresses
Primary practice location
7025 Harbour View Blvd
Suffolk, VA 23435-2761
Mailing address
1525 E Pass Rd Apt 328
Gulfport, MS 39507-3551
Other practice location 1
4262 Popps Ferry Rd Ste B
Diberville, MS 39540-2391
Phone (601) 775-4228
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 |
|---|---|---|---|
| 5263 | MS | MD | Speech-Language Pathologist |
| 2202012460 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fleming Therapy 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1275364184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 E PASS RD APT 328",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395073551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7025 HARBOUR VIEW BLVD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234352761",
"telephone_number": "757-974-8282"
}
],
"practiceLocations": [
{
"address_1": "4262 Popps Ferry Rd Ste B",
"address_purpose": "LOCATION",
"city": "Diberville",
"state": "MS",
"postal_code": "395402391",
"country_code": "US",
"telephone_number": "601-775-4228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "SHELBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S-5388",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202012460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.