Individual provider Active NPI

Valerie Rose Shingledecker, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Montrose, CO
National Provider Identifier
1366712358
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14046084 Issued in CO
Practice address
104 S 1St St
Montrose, CO 81401-3635
Phone
(909) 213-5967
NPI assigned
Jan 6, 2012
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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 14046084 CO Primary

Addresses

Primary practice location

104 S 1St St
Montrose, CO 81401-3635

Mailing address

740 S 8TH St
Montrose, CO 81401-4403
Phone (814) 227-7924

Other practice location 1

1043 Ridge St
Montrose, CO 81401-4423
Phone (970) 249-9683

Other names 1

  • Valerie Rose Kepler Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200715000230 CO Practitioner - Qualified Speech Language Pathologist 5496178030 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14046084COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dysphagia Diagnostics LLC Speech-Language Pathologist CurrentSince Apr 10, 2020 Accepting new patients
Advanced Dysphagia Diagnostics LLC Speech-Language Pathologist CurrentSince Apr 10, 2020 Accepting new patients

Locations

2233 E Main St
Montrose, CO 81401
Phone (970) 249-3700

104 S 1st St
Montrose, CO 81401
Phone (909) 213-5969

611 East Star Ct
Montrose, CO 81401
Phone (970) 249-1646

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

1043 Ridge St
Montrose, CO 81401
Phone (970) 249-9683

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1366712358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S 8TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014403",
            "telephone_number": "814-227-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S 1ST ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013635",
            "telephone_number": "909-213-5967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1043 Ridge St",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814014423",
            "country_code": "US",
            "telephone_number": "970-249-9683",
            "fax_number": "970-249-3915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINGLEDECKER",
        "first_name": "VALERIE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "14046084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "KEPLER",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.