Individual provider Active NPI

Shaylin Annedore Schundler, SLP

  • Speech-Language Pathologist
  • Aurora, CO
National Provider Identifier
1891280467
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0004396 Issued in CO
Practice address
12348 E Montview Blvd
Aurora, CO 80045-7103
Phone
(720) 848-0000
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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 41YS00914200 NJ
Speech-Language Pathologist 235Z00000X SLP.0004396 CO Primary

Addresses

Primary practice location

12348 E Montview Blvd
Aurora, CO 80045-7103

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

2854 John F Kennedy Blvd
Jersey City, NJ 07306-4014
Phone (201) 792-2582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211209002489 CO Practitioner - Qualified Speech Language Pathologist 2961892732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP.0004396COMDSpeech-Language Pathologist
41YS00914200NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated CurrentSince Dec 1, 2021 Accepting new patients
University Physicians, Incorporated CurrentSince Dec 1, 2021 Accepting new patients
University Physicians Incorporated Physical Medicine & Rehabilitation Current Accepting new patients
Kessler Institute for Rehabilitation, Inc. Past Accepting new patients
Kessler Institute for Rehabilitation Inc Past Accepting new patients

Locations

12348 E Montview Blvd
Aurora, CO 80045
Phone (303) 724-4824

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

12348 E Montview Blvd
#C290
Aurora, CO 80045

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

Dept 1061
Denver, CO 80256

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1891280467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12348 E MONTVIEW BLVD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457103",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2854 John F Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073064014",
            "country_code": "US",
            "telephone_number": "201-792-2582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUNDLER",
        "first_name": "SHAYLIN",
        "middle_name": "ANNEDORE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00914200",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0004396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.