Active NPI
Shelley Cheeks, CCC-SLP
- Speech-Language Pathologist
- Mt Juliet, TN
National Provider Identifier
1902440092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3319
- Practice address
- 754 N Mount Juliet Rd
Mt Juliet, TN 37122-3950 - Phone
- (615) 754-2828
- Fax
- (615) 754-2818
- NPI assigned
- Oct 31, 2019
- 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 | 3319 | TN | Primary |
Addresses
Primary practice location
754 N Mount Juliet Rd
Mt Juliet, TN 37122-3950
Mailing address
1995 Old Lebanon Dirt Rd
Mt Juliet, TN 37122-7416
Phone (615) 828-3135
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)
- Enrolled
Interoperability endpoints
- shelley.cheeks@ahp.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1902440092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 OLD LEBANON DIRT RD",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371227416",
"telephone_number": "615-828-3135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "754 N MOUNT JULIET RD",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371223950",
"telephone_number": "615-754-2828",
"fax_number": "615-754-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEEKS",
"first_name": "SHELLEY",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "3319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.