Ryan Jessica Shade, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL018563 Issued in PA

Practice address

501 Valley View Blvd
Altoona, PA 16602-6410

Phone

(814) 205-1404

Fax

(814) 201-2021

NPI assigned

Aug 8, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Procare PT LP

  • Physical Therapist
  • Altoona, PA
  • NPI 1811238744
  Medicare reassignment NPD
• Pro Care Health Systems Inc

  • Physical Therapy Clinic/Center
  • Altoona, PA
  • NPI 1205821238
  NPD (past)

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1912738378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PENN ST STE 103",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482044",
            "telephone_number": "814-205-1404",
            "fax_number": "814-201-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VALLEY VIEW BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026410",
            "telephone_number": "814-205-1404",
            "fax_number": "814-201-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADE",
        "first_name": "RYAN",
        "middle_name": "JESSICA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL018563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Counseling and Consulting LLC
• Christan M Servello, PA
• Seymour Family Medicine
• Elizabeth Marya Seymour, M.D.
• Briana Marie Shable
• Jennifer Lynn Shaffer
• Jessica Lynn Shaffer, SLP
• Kira Cloa Shaffer, PA-C
• Renee Shandor, LSW
• Hany Shanoudy

• Speech-Language Pathologist in Altoona, PA
• Providers in Altoona, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.