Active NPI
Shelby Nicole Kreeb, CCC-SLP
- Speech-Language Pathologist
- St Petersburg, FL
National Provider Identifier
1952896722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 138 16TH Ave N
St Petersburg, FL 33704-4513 - Phone
- (614) 940-4428
- NPI assigned
- Jun 25, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
138 16TH Ave N
St Petersburg, FL 33704-4513
Mailing address
138 16TH Ave N
St Petersburg, FL 33704-4513
Phone (614) 940-4428
Other practice location 1
8950 Doctor Martin Luther King Street North
#190
Saint Petersburg, FL 33702
Phone (727) 576-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109385200 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speak Easy Pediatrics | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- St Petersburg, FL
- NPI 1982155453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1952896722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 16TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337044513",
"telephone_number": "614-940-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 16TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337044513",
"telephone_number": "614-940-4428"
}
],
"practiceLocations": [
{
"address_1": "8950 Doctor Martin Luther King Street North",
"address_2": "#190",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "33702",
"country_code": "US",
"telephone_number": "727-576-7600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KREEB",
"first_name": "SHELBY",
"middle_name": "NICOLE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109385200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.