Shelby Renee Thomas

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7323 Issued in SC

Practice address

108 E 3Rd North St Ste a-1
Summerville, SC 29483-6810

Phone

(843) 790-4093

NPI assigned

Jun 24, 2022

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

Electronic endpoints 1

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.

• Vantage Speech & Language LLC

  • Speech-Language Pathologist
  • Moncks Corner, SC
  • NPI 1063907731
  NPD (past)

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1295467728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E 3RD NORTH ST STE A-1",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E 3RD NORTH ST STE A-1",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836810",
            "telephone_number": "843-790-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHELBY",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fusion",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "108 E 3rd North St Ste A-1",
            "city": "Summerville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294836810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jannitra Thomas, RHIA
• Jonathan Thomas
• Lauren Barnett Thomas, PHARMD
• Lori Rabon Thomas, RN
• Sarah Lynn Thomas
• Stephanie Gail Thomas, MD
• Carla Jean Thompkins
• Archie Thompson, LMSW
• Henry C Thompson II, ED.S.
• Ryan Thompson

• Speech-Language Pathologist in Summerville, SC
• Providers in Summerville, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.