Gwen Rochelle Shelton

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1475 Issued in WV

Practice address

445 W Main St
Clarksburg, WV 26301-2843

Phone

(304) 624-6554

Fax

(304) 624-5223

NPI assigned

Oct 31, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Marion County Board of Education

  • Local Education Agency (LEA)
  • Fairmont, WV
  • NPI 1245409127
  NPD (past)
• Marion County Board of Education

  • Local Education Agency (LEA)
  • Fairmont, WV
  • NPI 1528244183
  NPD (past)

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1629406509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 BUCKHANNON PIKE",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263014406",
            "telephone_number": "304-326-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W MAIN ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012843",
            "telephone_number": "304-624-6554",
            "fax_number": "304-624-5223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Capitol St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011757",
            "country_code": "US",
            "telephone_number": "304-558-5388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "GWEN",
        "middle_name": "ROCHELLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-31",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Shaw
• Donna L Shaw
• Jessica Marie Shaw, FNP-BC
• Mary Jean Shaw
• Patricia Ann Shaw, M.D.
• Santosh Shenoy, M.D.
• Natasha Sherwood
• Brittany Shields
• Megan Showers, LICSW
• Nicole Lynne Shreve, MPT

• Speech-Language Pathologist in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.