Chelsey Rachelle Short, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242006239 Issued in IL

Practice address

1810 Lindenthal Ave
Highland, IL 62249-2206

Phone

(618) 654-2107

NPI assigned

May 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chelsey Rachelle Ernst Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1689240830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11741 POCAHONTAS RD",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622493339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 LINDENTHAL AVE",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622492206",
            "telephone_number": "618-654-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "CHELSEY",
        "middle_name": "RACHELLE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242006239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEY",
            "last_name": "ERNST",
            "middle_name": "RACHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Holli Seger, PT, DPT
• Shataka Segura
• Semc Pathology
• Traci Ann Shafer, DT
• Shivani Sharma, MD
• Emalee Shubert
• Donald E. Smith, CRNA
• Lauren Virginia Smith, PNP
• Southern Illinois Gastroenterology LLC
• Southern Obstetric & Gyneco Associates (Southern OB/GYN-Highland)

• Speech-Language Pathologist in Highland, IL
• Providers in Highland, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.