Active NPI
Chelsea Shoop, CCC-SLP
- Speech-Language Pathologist
- Savannah, GA
National Provider Identifier
1689085938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 12300 Apache Ave
Apt 121
Savannah, GA 31419-2312 - Phone
- (717) 816-8002
- NPI assigned
- May 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
12300 Apache Ave
Apt 121
Savannah, GA 31419-2312
Mailing address
12300 Apache Ave
Apt 121
Savannah, GA 31419-2312
Phone (717) 816-8002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1363637 | Other | GA | GEORGIA EDUCATOR CERTIFICATE, GEORGIA PROFESSIONAL STANDARDS COMMISSION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developing Minds Treatment Center, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Central Georiga Fertility Institute | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Speech-Language Pathologist
- Macon, GA
- NPI 1336424373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399507200000",
"number": "1689085938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12300 APACHE AVE",
"address_2": "APT 121",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314192312",
"telephone_number": "717-816-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 APACHE AVE",
"address_2": "APT 121",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314192312",
"telephone_number": "717-816-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOOP",
"first_name": "CHELSEA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-08",
"last_updated": "2014-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA EDUCATOR CERTIFICATE, GEORGIA PROFESSIONAL STANDARDS COMMISSION",
"identifier": "1363637",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.