NPIMap

Organization Active NPI

Michele D. Shieldes PLLC

  • Speech-Language Pathologist
  • Tyler, TX
National Provider Identifier
1306693767
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MICHELE D. SHIELDES PLLC
Practice address
401 E Front St Ste 123
Tyler, TX 75702-8250
Phone
(903) 245-7720
Fax
(903) 531-2451
NPI assigned
May 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michele Diane Shieldes, M.S. CCC - SLPNPI 1881825180
Title
Speech-Language Pathologist
Phone
(903) 245-7720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

401 E Front St Ste 123
Tyler, TX 75702-8250

Mailing address

401 E Front St Ste 123
Tyler, TX 75702-8250
Phone (903) 245-7720

National Provider Directory

National Provider Directory

Locations

401 E Front St
Ste 123
Tyler, TX 75702
Phone (903) 245-7720

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1306693767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E FRONT ST STE 123",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028250",
            "telephone_number": "903-245-7720",
            "fax_number": "903-531-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E FRONT ST STE 123",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028250",
            "telephone_number": "903-245-7720",
            "fax_number": "903-531-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE D. SHIELDES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "SHIELDES",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "903-245-7720",
        "authorized_official_credential": "M.S. CCC - SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.