Shellie G Rubin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 9610 Issued in FL

Practice address

1456 Brenner Park Dr
Venice, FL 34292-1513

Phone

(614) 537-4260

NPI assigned

Jul 25, 2012

Last updated

Jul 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1457607616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 BRENNER PARK DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921513",
            "telephone_number": "614-537-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 BRENNER PARK DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921513",
            "telephone_number": "614-537-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "SHELLIE",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Light Home Care LLC
• Rpmy, LLC (Caring Touch, llc)
• Thomas J Ruane, M.D.
• David M Rubin, OD
• Jillian Rubin
• James R. Rubinsak, M.D.
• Jacquelynn Ann Rubsam, CNP
• Wendy Russell
• Francis Alberto Russo
• Oliva Russo, APRN

• Speech-Language Pathologist in Venice, FL
• Providers in Venice, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.