Shelley Anne Reichelt, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22005509A Issued in IN

Practice address

2307 Pueblo Dr
Lafayette, IN 47909-2750

Phone

(765) 714-9870

NPI assigned

Feb 14, 2013

Last updated

May 23, 2016By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iu Health Medical Group, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1326893777
  Medicare reassignment NPD

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1811237654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 PUEBLO DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479092750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 PUEBLO DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479092750",
            "telephone_number": "765-714-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHELT",
        "first_name": "SHELLEY",
        "middle_name": "ANNE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-14",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005509A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000001009924",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201353210",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Marie Reeder, RN
• Rebecca R Reeder, CST
• Scott Reef, D.D.S.M.S.D
• Karen T Regan, MD
• Stanton Maurice Regan, M.D.
• Courtney Reinken
• Jill M. Reisman, PA
• John David Reisman, MD
• Rem Indiana (Indiana Mentor)
• Rem Indiana (Indiana Mentor)

• Speech-Language Pathologist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.