Michele Shieldes, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104642 Issued in TX

Practice address

401 E Front St Ste 123
Tyler, TX 75702-8250

Phone

(903) 531-2581

Fax

(903) 531-2451

NPI assigned

Aug 4, 2009

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

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

Locations

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.

• Michele D. Shieldes PLLC

  • Speech-Language Pathologist
  • Tyler, TX
  • NPI 1306693767
  NPD Authorized official

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1881825180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 EVERGLADES DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032005",
            "telephone_number": "903-245-7720",
            "fax_number": "903-531-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E FRONT ST STE 123",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028250",
            "telephone_number": "903-531-2581",
            "fax_number": "903-531-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 W Front St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757027704",
            "country_code": "US",
            "telephone_number": "903-531-2581",
            "fax_number": "903-531-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 Everglades Dr",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757032005",
            "country_code": "US",
            "telephone_number": "903-245-7720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDES",
        "first_name": "MICHELE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205565902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Ione Sherman, MD
• Heather Sherman
• Whitney Sherman, BCBA
• Sherry Marasse, PLLC
• Michelle Shieh, M.D.
• Samara Shields
• Toni Christine Shifflet
• Colin Mark Shillinglaw, ATC, LAT
• Daniel Shimek
• Brittany B. Shipes, APRN

• Speech-Language Pathologist in Tyler, TX
• Providers in Tyler, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.