Shelley Lynn Vanderveen, MA. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5157 Issued in FL

Practice address

4448 Edgewater Dr
Orlando, FL 32804-1216

Phone

(407) 513-3000

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

Yes

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861510059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3852 HERITAGE OAKS CT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659200",
            "telephone_number": "407-808-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4448 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041216",
            "telephone_number": "407-513-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERVEEN",
        "first_name": "SHELLEY",
        "middle_name": "LYNN",
        "credential": "MA. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Vander Heiden, MA, ATC, LAT
• Jacob Vander Weide, MD
• Julia Vander Weide, MD
• Glen E Vander Zalm, MD
• Owaissa Carter Vanderberg, LMFT, LMHC, CT
• Kristen C Vandervelde, D.O.
• Chrystal Kaye Vandeventer, PHARMD
• Vandyke MD OB/GYN PA
• Diego Esteban Vanegas Acosta, MD
• Liliana Vanegas

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• 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.