Organization Active NPI

Shelby Lou Casey

Doing business as Shasta Speech and Language

  • Speech-Language Pathologist
  • Redding, CA
National Provider Identifier
1962135657
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SHELBY LOU CASEY
Doing business as
Shasta Speech and Language
Practice address
2208 Park Marina Dr
Redding, CA 96001-2111
Phone
(530) 244-0263
Fax
(530) 247-0688
NPI assigned
Jul 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Shelby Casey, M.S., CCC-SLP
Title
Owner/Speech-Language Pathologist
Phone
(510) 709-5503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2208 Park Marina Dr
Redding, CA 96001-2111

Mailing address

2208 Park Marina Dr
Redding, CA 96001-2111
Phone (530) 244-0263

Other names 1

  • Shasta Speech and Language Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1962135657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012111",
            "telephone_number": "530-244-0263",
            "fax_number": "530-247-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012111",
            "telephone_number": "530-244-0263",
            "fax_number": "530-247-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY LOU CASEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "510-709-5503",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shasta Speech and Language",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shasta Speech and Language",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.