Active NPI
Teressa Jeanette Shrewsbury, M.S. CCC-SLP
- Speech-Language Pathologist
- Bowling Green, KY
National Provider Identifier
1407061104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- KY-2752
- Practice address
- 212 Grand Teton Way
Bowling Green, KY 42104-7639 - Phone
- (270) 779-5307
- Fax
- (270) 846-4550
- NPI assigned
- May 14, 2007
- Last updated
- Jun 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | KY-2752 | KY | Primary |
Addresses
Primary practice location
212 Grand Teton Way
Bowling Green, KY 42104-7639
Mailing address
212 Grand Teton Way
Bowling Green, KY 42104-7639
Phone (270) 779-5307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1349 | Other | KY | FIRST STEPS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| KY-2752 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1407061104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 GRAND TETON WAY",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421047639",
"telephone_number": "270-779-5307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 GRAND TETON WAY",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421047639",
"telephone_number": "270-779-5307",
"fax_number": "270-846-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHREWSBURY",
"first_name": "TERESSA",
"middle_name": "JEANETTE",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "KY-2752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST STEPS",
"identifier": "1349",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.