Independent Developmental Assessmen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL004971L Issued in PA

Legal business name

INDEPENDENT DEVELOPMENTAL ASSESSMEN

Practice address

5518 Route 119
Punxsutawney, PA 15767-4050

Phone

(814) 427-4206

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Melissa Kaye SheplerNPI 1467588012

Title

Sole Proprietor

Phone

(814) 427-4206

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Kaye Shepler

  • Speech-Language Pathologist
  • Punxsutawney, PA
  • NPI 1467588012
  NPD (past) Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1679609226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5518 ROUTE 119",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157674050",
            "telephone_number": "814-427-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5518 ROUTE 119",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157674050",
            "telephone_number": "814-427-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT DEVELOPMENTAL ASSESSMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SHEPLER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "814-427-4206"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL004971L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE NUMBER",
            "identifier": "101652428",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Home Sweet Home Elder Care, LLC
• Michael Joseph Horner, RPH
• Andrea Lynn Huffman
• Janet E Huot, R.D.,C.D.E.
• Idp Punxsutawney LLC
• Indiana Healthcare Physician Services Inc
• Indiana Healthcare Physician Services, Inc
• Allison Marie Ishman
• Morgan A Janocha
• Jefferson County EMS Inc

• Speech-Language Pathologist in Punxsutawney, PA
• Providers in Punxsutawney, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.