Active NPI
Shelly Clayton, SLP
- Speech-Language Pathologist
- Glenwood Springs, CO
National Provider Identifier
1861907933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 00005163
- Practice address
- 2305 Blake Ave
Glenwood Springs, CO 81601-4325 - Phone
- (970) 366-3567
- NPI assigned
- Dec 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 00005163 | CO | Primary |
Addresses
Primary practice location
2305 Blake Ave
Glenwood Springs, CO 81601-4325
Mailing address
438 Broken Arrow Dr
New Castle, CO 81647-8643
Phone (605) 553-5755
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00005163 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1861907933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 BROKEN ARROW DR",
"city": "NEW CASTLE",
"state": "CO",
"postal_code": "816478643",
"telephone_number": "605-553-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 BLAKE AVE",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014325",
"telephone_number": "970-366-3567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "SHELLY",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-11",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "00005163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenwood Springs, CO
- Allison J Christie, M.D.
- Alexandra Cisneros Rivera
- City of Glenwood Springs
- Michelle Rae Clark, DENTAL HYGIENIST
- Karen P Clarke, ARNP
- Mary Cleator, B.A.
- James Coddington III, MSW
- Colorado West Regional Mental Health Inc.
- Colorado West Regional Mental Health, Inc.
- Colorado West Regional Mental Health, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.