Individual provider Active NPI

Rachael Shadell, MS, CCC-SLP

  • Speech-Language Pathologist
  • Cabot, AR
National Provider Identifier
1609447200
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14355991 Issued in AR
Practice address
2800 S 2ND St Ste B
Cabot, AR 72023-7030
Phone
(501) 286-6075
Fax
(501) 286-6175
NPI assigned
Jul 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14355991 AR Primary

Addresses

Primary practice location

2800 S 2ND St Ste B
Cabot, AR 72023-7030

Mailing address

112 Sagebrush LN
Romance, AR 72136-6922
Phone (479) 502-1136

Other practice location 1

3880 Colonial Blvd Ste 2
Fort Myers, FL 33966-1062
Phone (239) 351-3715

Other names 1

  • Rachael Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110000168 AR Practitioner - Qualified Speech Language Pathologist 4385036003 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14355991ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Pediatric Therapy Services, LLC Speech-Language Pathologist CurrentSince Oct 13, 2024 Accepting new patients
Reaper Physical Therapy Inc CurrentSince Nov 23, 2021 Accepting new patients
Post 0218, PLC PastSince Jul 28, 2024 Accepting new patients
Stepping Stone Kids Therapy LLC PastSince Sep 12, 2021 Accepting new patients

Locations

2800 S 2nd St
Ste B
Cabot, AR 72023
Phone (501) 286-6059

2918 Hawkins Dr
Searcy, AR 72143
Phone (501) 279-9255

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1609447200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SAGEBRUSH LN",
            "city": "ROMANCE",
            "state": "AR",
            "postal_code": "721366922",
            "telephone_number": "479-502-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S 2ND ST STE B",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237030",
            "telephone_number": "501-286-6075",
            "fax_number": "501-286-6175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3880 Colonial Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339661062",
            "country_code": "US",
            "telephone_number": "239-351-3715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHADELL",
        "first_name": "RACHAEL",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "14355991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.

Verify at the official NPI Registry.