Active NPI
Shellie Christina May, M.ED.
- Speech-Language Pathologist
- Live Oak, FL
National Provider Identifier
1952424251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 5079
- Practice address
- 400 Ohio Ave S Unit 177
Live Oak, FL 32064-7707 - Phone
- (386) 362-3231
- Fax
- (888) 841-9040
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SA 5079 | FL | Primary |
Addresses
Primary practice location
400 Ohio Ave S Unit 177
Live Oak, FL 32064-7707
Mailing address
400 Ohio Ave S Unit 177
Live Oak, FL 32064-7707
Phone (386) 362-3231
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889323300 | Medicaid | FL | |
| S2724 | Other | FL | BLUE CROSS BLUE SHEILD PR |
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 5079 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1952424251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 OHIO AVE S UNIT 177",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320647707",
"telephone_number": "386-362-3231",
"fax_number": "888-841-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 OHIO AVE S UNIT 177",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320647707",
"telephone_number": "386-362-3231",
"fax_number": "888-841-9040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAY",
"first_name": "SHELLIE",
"middle_name": "CHRISTINA",
"name_prefix": "Mrs.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 5079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889323300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD PR",
"identifier": "S2724",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.