Individual provider Active NPI

Chelsea Paulus, MS, CCC-SLP

  • Speech-Language Pathologist
  • Sheridan, WY
National Provider Identifier
1356902084
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1981 Double Eagle Dr Ste a
Sheridan, WY 82801-2132
Phone
(307) 429-0837
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

1981 Double Eagle Dr Ste a
Sheridan, WY 82801-2132

Mailing address

1134 Cross Creek CT
Sheridan, WY 82801-8818
Phone (307) 429-0837

Other practice location 1

1134 Cross Creek Ct
Sheridan, WY 82801-8818
Phone (307) 429-0837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211230000990 WY Practitioner - Qualified Speech Language Pathologist 2264823251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connect Speech Therapy LLCGroup PAC ID 1355732348, 3 clinicians

Practice addresses (Care Compare)

345 S Linden Ave
Sheridan, WY 82801-4709
Phone (307) 429-0837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Speech Therapy LLC Speech-Language Pathologist CurrentSince Aug 20, 2021 Accepting new patients
One Hole Too Many LLC Past Accepting new patients

Locations

1981 Double Eagle Dr
Ste A
Sheridan, WY 82801
Phone (307) 751-3076

345 S Linden Ave
Sheridan, WY 82801
Phone (307) 672-6610

Organizations & group practices 2

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1356902084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 CROSS CREEK CT",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828018818",
            "telephone_number": "307-429-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 DOUBLE EAGLE DR STE A",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012132",
            "telephone_number": "307-429-0837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1134 Cross Creek Ct",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828018818",
            "country_code": "US",
            "telephone_number": "307-429-0837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULUS",
        "first_name": "CHELSEA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.