Individual provider Active NPI

Shelby Lou Casey, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Redding, CA
National Provider Identifier
1376112011
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2208 Park Marina Dr
Redding, CA 96001-2111
Phone
(530) 244-0263
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 CA Primary

Addresses

Primary practice location

2208 Park Marina Dr
Redding, CA 96001-2111

Mailing address

2208 Park Marina Dr
Redding, CA 96001-2111
Phone (530) 244-0263

Other practice location 1

320 N Crawford St
Willows, CA 95988-2326
Phone (866) 884-5625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shasta Speech and Language Pathology IncGroup PAC ID 5092163089, 2 clinicians

Practice addresses (Care Compare)

2208 Park Marina Dr
Redding, CA 96001-2111
Phone (530) 244-0263

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby Lou Casey Speech-Language Pathologist CurrentSince Jul 1, 2022 Accepting new patients
Shasta Speech and Language Pathology Inc. Speech-Language Pathologist CurrentSince Nov 16, 2023 Accepting new patients

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": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1376112011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012111",
            "telephone_number": "530-244-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012111",
            "telephone_number": "530-244-0263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 N Crawford St",
            "address_purpose": "LOCATION",
            "city": "Willows",
            "state": "CA",
            "postal_code": "959882326",
            "country_code": "US",
            "telephone_number": "866-884-5625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASEY",
        "first_name": "SHELBY LOU",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.