Individual provider Active NPI

Shelby Bagley, CCC-SLP

  • Speech-Language Pathologist
  • Reno, NV
National Provider Identifier
1376435602
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
4741 Caughlin Pkwy Ste 2
Reno, NV 89519-0983
Phone
(775) 376-1934
NPI assigned
Jul 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

4741 Caughlin Pkwy Ste 2
Reno, NV 89519-0983

Mailing address

5250 Villa Verde Dr Apt U6
Reno, NV 89523-1571
Phone (970) 534-5089

Other practice location 1

2875 Saint Rose Pkwy
Henderson, NV 89052-4838
Phone (800) 966-0535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260205004394 NV Practitioner - Qualified Speech Language Pathologist 7810476231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Peak TherapiesGroup PAC ID 5092173815, 3 clinicians

Practice addresses (Care Compare)

4741 Caughlin Pkwy
Suite 2
Reno, NV 89519-0983
Phone (775) 375-1934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Peak Therapies Speech-Language Pathologist CurrentSince Jan 1, 2026 Accepting new patients

Locations

4741 Caughlin Pkwy
Ste 2
Reno, NV 89519
Phone (775) 375-1934

Organizations & group practices 1

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": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1376435602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 VILLA VERDE DR APT U6",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895231571",
            "telephone_number": "970-534-5089",
            "fax_number": "970-534-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 CAUGHLIN PKWY STE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190983",
            "telephone_number": "775-376-1934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2875 Saint Rose Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524838",
            "country_code": "US",
            "telephone_number": "800-966-0535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "SHELBY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.