Shelley L King, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01131 Issued in MO

Practice address

100 N Thompson Avenue
Excelsior Springs Public School
Excelsior Springs, MO 64024-0248

Phone

(816) 630-9221

Fax

(816) 630-9207

NPI assigned

Apr 12, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Excelsior Springs Public Schools 40

  • Local Education Agency (LEA)
  • Excelsior Springs, MO
  • NPI 1831239029

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1851515068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "address_2": "100 N THOMPSON AVENUE",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640240248",
            "telephone_number": "816-630-9221",
            "fax_number": "816-630-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N THOMPSON AVENUE",
            "address_2": "EXCELSIOR SPRINGS PUBLIC SCHOOL",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640240248",
            "telephone_number": "816-630-9221",
            "fax_number": "816-630-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SHELLEY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "01131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463521401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kcare, LLC
• Marissa Renee Kehrwald, MSN-C, FNP-C
• Ethan R Kent, LSCSW, LCSW
• Kex RX Excelsior LLC
• Natalie A Key, M.D.
• Erin Krantz, RBT
• Manoch Kuangparichat, MD
• Kathy Marie Kunze, FNP
• Kirstyn Lanae Lafrenz, FNP
• James R Lasalle, DO

• Speech-Language Pathologist in Excelsior Springs, MO
• Providers in Excelsior Springs, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.