Active NPI
Karla Sheley, M.A., CCC-SLP
- Speech-Language Pathologist
- Fort Wayne, IN
National Provider Identifier
1881853489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22004769A
- Practice address
- 6507 Constitution Dr
Fort Wayne, IN 46804-1551 - Phone
- (260) 271-4650
- NPI assigned
- Jun 9, 2008
- 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 | 22004769A | IN | Primary |
Addresses
Primary practice location
6507 Constitution Dr
Fort Wayne, IN 46804-1551
Mailing address
6507 Constitution Dr
Fort Wayne, IN 46804-1551
Phone (260) 271-4650
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22004769A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Possibilities Northeast, LLC | Past | Accepting new patients | |
| Soaring Mind, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Fort Wayne, IN
- NPI 1063616340
-
dba MindCAP Services
- Specialist
- Fort Wayne, IN
- NPI 1477910479
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1881853489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6507 CONSTITUTION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041551",
"telephone_number": "260-271-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6507 CONSTITUTION DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468041551",
"telephone_number": "260-271-4650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELEY",
"first_name": "KARLA",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22004769A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.