Individual provider Active NPI

Shelby Elizabeth Cole, M.S. SLP-CCC

  • Speech-Language Pathologist
  • West Memphis, AR
National Provider Identifier
1396994497
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP2420 Issued in AR
Practice address
207 Balfour Rd
West Memphis, AR 72301-1701
Phone
(870) 733-9950
Fax
(870) 733-9966
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP2420 AR Primary
Speech-Language Pathologist 235Z00000X 12109534 AR

Addresses

Primary practice location

207 Balfour Rd
West Memphis, AR 72301-1701

Mailing address

PO Box 2627
West Memphis, AR 72303-2627
Phone (870) 733-9950

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12109534ARMDSpeech-Language Pathologist
SP2420ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Frank C. Steudlein Learning Center Past Accepting new patients

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": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1396994497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2627",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723032627",
            "telephone_number": "870-733-9950",
            "fax_number": "870-733-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BALFOUR RD",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011701",
            "telephone_number": "870-733-9950",
            "fax_number": "870-733-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "SHELBY",
        "middle_name": "ELIZABETH",
        "credential": "M.S. SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP2420",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "12109534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.