Individual provider Active NPI

Shelley D Zepp, MACCCSLP

  • Speech-Language Pathologist
  • Birmingham, AL
National Provider Identifier
1790908598
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3998 Issued in AL
Practice address
3057 Lorna Rd
Suite 220
Birmingham, AL 35216-4514
Phone
(205) 978-9939
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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 SLP006290 GA
Speech-Language Pathologist 235Z00000X 3998 AL Primary

Addresses

Primary practice location

3057 Lorna Rd
Suite 220
Birmingham, AL 35216-4514

Mailing address

3057 Lorna Rd
Suite 220
Birmingham, AL 35216-4514
Phone (205) 978-9939

Other identifiers 1

IdentifierTypeStateIssuer
067581318AMedicaidGA

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

LicenseStateTypeSpecialty
3998ALMDOphthalmology Physician
SLP006290GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1790908598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 LORNA RD",
            "address_2": "SUITE 220",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164514",
            "telephone_number": "205-978-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 LORNA RD",
            "address_2": "SUITE 220",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164514",
            "telephone_number": "205-978-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEPP",
        "first_name": "SHELLEY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006290",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067581318A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.