Andrea L Shelton, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104513 Issued in TX

Practice address

1201 E 15TH St
Suite 304
Plano, TX 75074-6238

Phone

(972) 424-0148

Fax

(972) 422-5275

NPI assigned

Jul 30, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1972734549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E 15TH ST",
            "address_2": "SUITE 304",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746238",
            "telephone_number": "972-424-0148",
            "fax_number": "972-422-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E 15TH ST",
            "address_2": "SUITE 304",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746238",
            "telephone_number": "972-424-0148",
            "fax_number": "972-422-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia M Sheehy, P. T.
• Derek Sheen, MD
• Sydney Sheets, RBT
• William Robert Sheldon Jr., M.D.
• Jessica Leigh Shellock, M.D.
• Elisha Leigh Shelton, PA-C
• Emily Shelton
• Jack Charles Shelton, M.D.
• Melissa Shelton, DC
• Jean Sheng, MD

• Speech-Language Pathologist in Plano, TX
• Providers in Plano, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.