Active NPI
Shelley Lynn O'Donnell
- Speech-Language Pathologist
- Wesley Chapel, FL
National Provider Identifier
1760708952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 10351
- Practice address
- 30304 Hatz Way
Wesley Chapel, FL 33543-6949 - Phone
- (813) 991-6791
- NPI assigned
- Apr 13, 2010
- Sex
- Female
- Sole proprietor
- No
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 | SA 10351 | FL | Primary |
Addresses
Primary practice location
30304 Hatz Way
Wesley Chapel, FL 33543-6949
Mailing address
30304 Hatz Way
Wesley Chapel, FL 33543-6949
Phone (813) 991-6791
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 10351 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1760708952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30304 HATZ WAY",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335436949",
"telephone_number": "813-991-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30304 HATZ WAY",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335436949",
"telephone_number": "813-991-6791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "SHELLEY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-13",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 10351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.