Active NPI
Shelly Ann Carver, M.S., CCC-SLP
- Speech-Language Pathologist
- Pearland, TX
National Provider Identifier
1760002935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 105391
- Practice address
- 2011 Broadway St Ste 120
Pearland, TX 77581-5945 - Phone
- (832) 241-8160
- NPI assigned
- Apr 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 105391 | TX | Primary |
Addresses
Primary practice location
2011 Broadway St Ste 120
Pearland, TX 77581-5945
Mailing address
18824 Alnwick Castle Dr
Pflugerville, TX 78660-7454
Phone (512) 965-7965
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
| License | State | Type | Specialty |
|---|---|---|---|
| 105391 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1760002935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18824 ALNWICK CASTLE DR",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786607454",
"telephone_number": "512-965-7965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 BROADWAY ST STE 120",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815945",
"telephone_number": "832-241-8160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVER",
"first_name": "SHELLY",
"middle_name": "ANN",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-17",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "105391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.