Rebecca Ann Shealey, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6454 Issued in NC

Practice address

106 Azalea CT
Kitty Hawk, NC 27949-9224

Phone

(252) 261-3239

NPI assigned

Jul 13, 2005

Last updated

Jul 8, 2007By 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

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831197854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 AZALEA CT",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279499224",
            "telephone_number": "252-261-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 AZALEA CT",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279499224",
            "telephone_number": "252-261-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEALEY",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sentara Albemarle Regional Medical Center, LLC (Sentara Kitty Hawk)
• Sentara Albemarle Regional Medical Center, LLC (Sentara Kitty Hawk)
• Sentara Albemarle Regional Medical Center, LLC (Sentara Kitty Hawk Ambulatory Surgery Center)
• Sentara Albemarle Regional Medical Center, LLC (Sentara Kitty Hawk Advanced Imaging Center)
• Sentara Medical Group (Sentara Cardiology Specialists)
• Bruce G Shepard, PHD
• Zoe C Sherman, PA-C, MHS
• Alyssa Annamarie Smith, PA-C
• Anne Maria Smith, NP
• Jennifer Smith

• Speech-Language Pathologist in Kitty Hawk, NC
• Providers in Kitty Hawk, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.