Shelby D Davis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0000767 Issued in CO

Practice address

31699 County Road 11
Las Animas, CO 81054-9443

Phone

(719) 688-3782

NPI assigned

Aug 11, 2021

Last updated

Aug 11, 2021By the provider in NPPES

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

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1326713447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31699 COUNTY ROAD 11",
            "city": "LAS ANIMAS",
            "state": "CO",
            "postal_code": "810549443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31699 COUNTY ROAD 11",
            "city": "LAS ANIMAS",
            "state": "CO",
            "postal_code": "810549443",
            "telephone_number": "719-688-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHELBY",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0000767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bent County Public Health
• Bent County Public Health
• Bent County Public Health
• Colorado Coalition for the Homeless (Ft. Lyon)
• County of Bent School District Re-1
• Samantha Rae Didomenico, D.D.S.
• Karen L Donkle, NP
• Cassie Lane Elder, RN
• Family Medical Services
• Steven Gallegos, ACNP/FNP-BC

• Speech-Language Pathologist in Las Animas, CO
• Providers in Las Animas, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.