Amy Jo Shollenbarger, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#1184 Issued in AR

Practice address

1501 W Court St
Paragould, AR 72450-4025

Phone

(870) 239-3885

NPI assigned

Jun 9, 2008

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

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.

• Paragould School District

  • Local Education Agency (LEA)
  • Paragould, AR
  • NPI 1124180476
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1285893768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 FINCH RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724506237",
            "telephone_number": "870-236-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W COURT ST",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504025",
            "telephone_number": "870-239-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLLENBARGER",
        "first_name": "AMY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#1184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Shelton, LPN
• Ashley G Shepard, APRN, FNP-BC
• Pamala Shewbuirt
• Shiloh Acupuncture and Chiropractic, PLLC
• Destiny Shipman
• Ashley Shopher
• Leigh Ann Short, LCSW
• Walter M Short, M.D.
• Culber Mack Shotts, M.D.
• Vern Ann Shotts, MD

• Speech-Language Pathologist in Paragould, AR
• Providers in Paragould, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.