Shelby Marie Blades

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S-5101 Issued in MS

Practice address

9121 Ridgeview Dr E
Ocean Springs, MS 39564-8745

Phone

(228) 219-2612

NPI assigned

Aug 13, 2025

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

State licenses

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1831075167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 RIDGEVIEW DR E",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648745",
            "telephone_number": "228-219-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 RIDGEVIEW DR E",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648745",
            "telephone_number": "228-219-2612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4214 Bienville Blvd",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395645975",
            "country_code": "US",
            "telephone_number": "228-300-2857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLADES",
        "first_name": "SHELBY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S-5101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laci Marie Bishop, PA
• Stephanie Sowell Bishop, OT
• Jason L. Black, M.D.
• Kelly Black, HIS
• Angela Rene Blackman
• Kristen Blair, NP
• Alexander Drake Blevens, M.D.
• BMD Enterprises, Inc.
• Joshua Bock
• Derek Bodart

• All providers in Ocean Springs, MS
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.