Shelley Jo Hurtado, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

61206787 Issued in WA

Practice address

1946 8TH Ave
Longview, WA 98632-4044

Phone

(360) 261-6125

NPI assigned

Apr 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1699418608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18702 NE 109TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986046115",
            "telephone_number": "253-988-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 8TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324044",
            "telephone_number": "360-261-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "SHELLEY",
        "middle_name": "JO",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61206787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne L Humbert, RPT
• Cassie D Hummel, ARNP, DNP FNP-BC
• Amber Humphrey, MS, CCC-SLP
• Erica A Hunt, PSY.D.
• Randall Dean Hurst, PSY.D.
• Valarie Ann Hutchins
• Rebecca L Hutfilz, M.D.
• Sarah Emily Ibabao, R-AAC, CPC
• Jessica Rae Iddings, LMP
• Ideal Option, PLLC

• Speech-Language Pathologist in Longview, WA
• Providers in Longview, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.