Shelby Marie Smith, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14171822 Issued in OK

Practice address

44038 45TH St
Shawnee, OK 74804-9683

Phone

(405) 501-3627

NPI assigned

Aug 8, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1821643511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38515 HARDESTY RD",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748018755",
            "telephone_number": "405-501-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44038 45TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748049683",
            "telephone_number": "405-501-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHELBY",
        "middle_name": "MARIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "14171822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan D. Smith
• Nicole Taylor Smith, AUD
• Rilda J Smith, LMFT
• Ryan Andrew Smith, PT, DPT
• Shannon Todd Smith, D.PH
• Sherry Smith
• Sherry Ann Smith
• Sylvia 'Sherry' Charisse Smith, MHR
• Taylor Smith
• Tiffany Marie Smith, MS,LPC CANDIDATE

• Speech-Language Pathologist in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.