Shelby Paige Wilson, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

353 Issued in OK

Practice address

3101 Lyon Blvd
Oklahoma City, OK 73112

Phone

(405) 587-3600

NPI assigned

Nov 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Shelby Moak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1619633393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 EXCHANGE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731083020",
            "telephone_number": "405-587-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 LYON BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-587-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHELBY",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-21-157074",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "OK",
            "license": "353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "MOAK",
            "prefix": "MISS",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peyton Kohl Wilson
• Ramonia Lavern Wilson
• Rebekah Wilson
• Robert Lyon Wilson, M.D.
• Scott Wilson, BC-HIS
• Shelby Victoria Wilson
• Stephanie Dawn Wilson, PT
• Tatiana Valerievna Wilson, PA-C
• Terri G. Wilson, CNP
• Trez Wilson

• Speech-Language Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Speech-Language Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.