Individual provider Active NPI

Shelby N Anderson, SLP

  • Speech-Language Pathologist
  • Midlothian, TX
National Provider Identifier
1851675466
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
108140 Issued in TX
Practice address
600 S 5TH St
Midlothian, TX 76065-3425
Phone
(469) 856-6000
NPI assigned
Sep 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202006412 VA
Speech-Language Pathologist 235Z00000X 108140 TX Primary

Addresses

Primary practice location

600 S 5TH St
Midlothian, TX 76065-3425

Mailing address

600 S 5TH St
Midlothian, TX 76065-3425
Phone (469) 856-6000

Other practice location 1

605 Jefferson Davis Hwy
Fredericksburg, VA 22401-8403
Phone (540) 446-2654

Other names 1

  • Shelby N Roberts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108140TXMDSpeech-Language Pathologist
2202006412VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1851675466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 5TH ST",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760653425",
            "telephone_number": "469-856-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 5TH ST",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760653425",
            "telephone_number": "469-856-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Jefferson Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224018403",
            "country_code": "US",
            "telephone_number": "540-446-2654",
            "fax_number": "540-371-3748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHELBY",
        "middle_name": "N",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006412",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "ROBERTS",
            "middle_name": "N",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.