Individual provider Active NPI

Shelby Schomerus, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Columbus, NE
National Provider Identifier
1306213673
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1840 Issued in NE
Practice address
3805 25TH St
Columbus, NE 68601-2233
Phone
(402) 942-1329
NPI assigned
Aug 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

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 1840 NE Primary

Addresses

Primary practice location

3805 25TH St
Columbus, NE 68601-2233

Mailing address

6420 Monarch Dr
Lincoln, NE 68516-6417
Phone (402) 641-7291

Other practice location 1

7208 Van Dorn St
Lincoln, NE 68506-3651
Phone (402) 417-0371

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1840NEMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1306213673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 MONARCH DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166417",
            "telephone_number": "402-641-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 25TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012233",
            "telephone_number": "402-942-1329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7208 Van Dorn St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685063651",
            "country_code": "US",
            "telephone_number": "402-417-0371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOMERUS",
        "first_name": "SHELBY",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.