Shelby Renae Moseby, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

10310 N 138TH East Ave Ste 101
Owasso, OK 74055-4611

Phone

(918) 855-5338

NPI assigned

May 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Owasso Speech Co LLC

  • Speech/Language/Hearing Specialist/Technologist
  • Owasso, OK
  • NPI 1770334419
  NPD Authorized official
• Strides Pediatric Therapy

  • Physical Therapist
  • Owasso, OK
  • NPI 1164061123
  NPD (past)

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1992328389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W SOUTH ST",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740213017",
            "telephone_number": "918-855-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 N 138TH EAST AVE STE 101",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554611",
            "telephone_number": "918-855-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSEBY",
        "first_name": "SHELBY",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200907480A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Morgan
• Jeffrey Howell Morgan, DPH
• Emma Michelle Moritz
• Laura Ann Morris-Cudek, DPH
• Da'Sha Morton, LPN
• Carolyn Mosley, PTA
• Candice Moss
• Kayci Moushon, PMHNP
• Richard Edward Mullins, PHD
• Zachary Michael Mullins, DO

• Speech-Language Pathologist in Owasso, OK
• Providers in Owasso, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.