Isabelle Nicole Shackelford, MS, CF-SLP

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

203740 Issued in AR

Practice address

3162 W MLK Blvd Ste 2
Fayetteville, AR 72704-7679

Phone

(479) 435-6636

NPI assigned

Aug 21, 2026

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

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.

• Kindred Pediatric Therapy, PLC

  • Physical Therapy Clinic/Center
  • Fayetteville, AR
  • NPI 1508574963
  NPD (past)

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1508772302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 BELINDA LN",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647690",
            "telephone_number": "479-409-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 W MLK BLVD STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047679",
            "telephone_number": "479-435-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKELFORD",
        "first_name": "ISABELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": "203740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin P Sexton, PA
• Jon A Sexton, MD
• Laurel Sexton, PT
• Monica Sexton, OTRL
• Lynne Williams Seymour, A.P.N.
• Susan L Shackelford, PH.D.
• Nadia Shaddel, DO
• Barbara B Shadden, PH.D.
• Emily Shaddox
• Alyson R Shadrick, MS, QBHP

• Student in an Organized Health Care Education/Training Program in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Student in an Organized Health Care Education/Training Program in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.