Shelly L. Williams, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2558 Issued in OK

Practice address

18175 County Road 3560
Ada, OK 74820-0126

Phone

(580) 272-3580

NPI assigned

Apr 19, 2017

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)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1730613415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18175 COUNTY ROAD 3560",
            "city": "ADA",
            "state": "OK",
            "postal_code": "74820",
            "telephone_number": "580-272-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18175 COUNTY ROAD 3560",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748200126",
            "telephone_number": "580-272-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHELLY",
        "middle_name": "L.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Amanda Williams, BS, BHRS, CM, USP
• Michelle R. Williams, CADA UNDER SUP.
• Paige Noelle Williams
• Presley Kalyn Williams, BSW
• Sean Williams
• Zachariah F Williams, PHARM.D., MBA,CBCS
• Amber Lynn Williamson
• Charlotte Ann Willis
• Joshua Willis
• Kristi Lea Wilmoth

• Speech-Language Pathologist in Ada, OK
• Providers in Ada, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.