Active NPI
Shelby Lynn Shedenhelm, CCC-SLP
- Speech-Language Pathologist
- Maquoketa, IA
National Provider Identifier
1417468257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 700 W Grove St
Maquoketa, IA 52060-2163 - Phone
- (563) 357-1130
- NPI assigned
- Oct 19, 2017
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
700 W Grove St
Maquoketa, IA 52060-2163
Mailing address
804 Grant CT
Maquoketa, IA 52060-3416
Phone (563) 357-1130
Other practice location 1
1000 1st Dr NW
Austin, MN 55912-2941
Phone (507) 434-1796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Stone Therapy Inc. | Current | Accepting new patients | |
| Fox Rehab SLP Ia PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2830 100th St
Ste 100
Urbandale, IA 50322
Phone (515) 537-4770
4319 NW Urbandale Dr
Urbandale, IA 50322
Phone (515) 875-9470
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.
-
- Physical Medicine & Rehabilitation Physician
- Urbandale, IA
- NPI 1932797297
-
- Speech-Language Pathologist
- Norwalk, IA
- NPI 1427719947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1417468257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 GRANT CT",
"city": "MAQUOKETA",
"state": "IA",
"postal_code": "520603416",
"telephone_number": "563-357-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W GROVE ST",
"city": "MAQUOKETA",
"state": "IA",
"postal_code": "520602163",
"telephone_number": "563-357-1130"
}
],
"practiceLocations": [
{
"address_1": "1000 1st Dr NW",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "MN",
"postal_code": "559122941",
"country_code": "US",
"telephone_number": "507-434-1796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEDENHELM",
"first_name": "SHELBY",
"middle_name": "LYNN",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-19",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maquoketa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.