Anne Rushton Shackelford, M.ED., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202000913 Issued in VA

Practice address

417 Emmet St S
Charlottesville, VA 22903-2424

Phone

(434) 924-8750

Fax

(434) 924-4621

NPI assigned

May 9, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1710476262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400270",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229044270",
            "telephone_number": "434-924-8750",
            "fax_number": "434-924-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 EMMET ST S",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032424",
            "telephone_number": "434-924-8750",
            "fax_number": "434-924-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKELFORD",
        "first_name": "ANNE",
        "middle_name": "RUSHTON",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202000913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley T Sevindi, MS, LCGC
• Samantha Seymour, MS
• Ahmed Taha Elsayed Shaaban, MD
• Abdelrahman Sherif Shabaan
• Mirna Shaban
• Lon Shackelford, PHD
• Jayne Shadlyn, MD
• Mohammad Mossaad Shaear, MD
• Debra Kay Shaffer, NP-C
• Hubert A. Shaffer Jr., M.D.

• Speech-Language Pathologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.