Individual provider Active NPI

Shelly Negley, MS CCC-SLP

  • Speech-Language Pathologist
  • Winchester, VA
National Provider Identifier
1750716379
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202006547 Issued in VA
Practice address
250 First Woods Dr
Winchester, VA 22603-4899
Phone
(540) 678-1868
NPI assigned
Sep 13, 2013
Last updated
Aug 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-1424 WV
Speech-Language Pathologist 235Z00000X 2202006547 VA Primary

Addresses

Primary practice location

250 First Woods Dr
Winchester, VA 22603-4899

Mailing address

415 Fair LN
Winchester, VA 22603-4503
Phone (540) 532-0268

Other practice location 1

164 Catch and Release Ct
Inwood, WV 25428-3205
Phone (304) 851-3100

Other practice location 2

415 Fair Ln
Winchester, VA 22603-4503
Phone (540) 532-0268

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2202006547VAMDSpeech-Language Pathologist
SLP-1424WVMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1750716379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 FAIR LN",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226034503",
            "telephone_number": "540-532-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FIRST WOODS DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226034899",
            "telephone_number": "540-678-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 Catch and Release Ct",
            "address_purpose": "LOCATION",
            "city": "Inwood",
            "state": "WV",
            "postal_code": "254283205",
            "country_code": "US",
            "telephone_number": "304-851-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Fair Ln",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226034503",
            "country_code": "US",
            "telephone_number": "540-532-0268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEGLEY",
        "first_name": "SHELLY",
        "name_prefix": "Ms.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-1424",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.