Shelby Rae Lucht

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

61345022 Issued in WA

Practice address

1611 Kresky Ave Ste 108
Centralia, WA 98531-8982

Phone

(360) 206-4196

NPI assigned

Jun 15, 2023

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)

Not enrolled

State licenses

Practice roles

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.

• Cornerstone Center for Development PLLC

  • Speech-Language Pathologist
  • Centralia, WA
  • NPI 1174224414
  NPD (past)

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1467137612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 CANONBURY LN SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985132230",
            "telephone_number": "360-266-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 KRESKY AVE STE 108",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318982",
            "telephone_number": "360-206-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCHT",
        "first_name": "SHELBY",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61345022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren D Cooper, MD, Inc. PS
• Jonathan L Losee, PT
• Daniel Kingsley Lowe, M.D.
• Hailey Michelle Lowery
• Katrina Lucas, LMFT
• Vicki Lee Lucht, LPN
• Emily Lund, LMP
• Adam Lutz
• Emily Lutz, LMHCA
• Duong Dai Ly, DDS

• Speech-Language Pathologist in Centralia, WA
• Providers in Centralia, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.