Individual provider Active NPI

Shelby Leanne Cowger, M.S. CCC SLP

  • Speech-Language Pathologist
  • Jacksonville, AR
National Provider Identifier
1306125299
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
601 N 1St St Ste 4
Jacksonville, AR 72076-4139
Phone
(501) 241-0410
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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 Primary

Addresses

Primary practice location

601 N 1St St Ste 4
Jacksonville, AR 72076-4139

Mailing address

601 N 1St St Ste 4
Jacksonville, AR 72076-4139
Phone (501) 241-0401

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
All God'S Children Therapy Center Speech-Language Pathologist CurrentSince Mar 24, 2025 Accepting new patients

Locations

601 N 1st St
Ste 4
Jacksonville, AR 72076
Phone (501) 241-0008

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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1306125299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 1ST ST STE 4",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764139",
            "telephone_number": "501-241-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 1ST ST STE 4",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764139",
            "telephone_number": "501-241-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWGER",
        "first_name": "SHELBY",
        "middle_name": "LEANNE",
        "credential": "M.S. CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.