MS. ANGELA LEE SHELTON (NPI# 1669432910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669432910 |
| Entity Type | Individual |
| Full Name | MS. ANGELA LEE SHELTON |
| Credential | MSE CCC SLP |
| Practice Address |
17706 I-30 Ste 3 Benton AR 72015 |
| Practice Telephone | 5013154414 |
| Practice Fax Number | 5013153467 |
| Mailing Telephone | 5013154414 |
| Mailing Fax Number | 5013153467 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP720 | AZ | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 5W167 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114349479 | Angela Reese Shelton | Dentist | 299 W Lincoln Trail Blvd Ste 102, Radcliff, KY 40160-3306 | 2014-01-06 |
| 1649561937 | Angela Lonnette Shelton | Occupational Therapy Assistant | 1810 Archdale Dr, Corpus Christi, TX 78416-2510 | 2011-04-21 |
| 1952627234 | Angela Renee Shelton | Counselor | 7023 W. Tallmadge Ct., Milwaukee, WI 53218 | 2010-04-12 |
| 1578738290 | Angela Diane Shelton | Obstetrics & Gynecology | 150 N Sykes Creek Pkwy Ste 102, Merritt Island, FL 32953-3488 | 2008-04-23 |
| 1215542600 | Angela Shelton | Pharmacist | 1111 Highland Ave, Selma, AL 36703-4129 | 2020-09-11 |
| 1811409311 | Angela Shelton | Case Manager/Care Coordinator | 150 Cross St, Akron, OH 44311 | 2017-10-25 |
| 1639525504 | Angela Shelton | Counselor | 10981 San Diego Mission Rd Ste 110, San Diego, CA 92108-2448 | 2016-05-10 |
| 1295908762 | Angela Marie Shelton | Audiologist | 110 Johnson Ln, Barbourville, KY 40906-1321 | 2008-04-07 |
| 1073627816 | Angela Jane Shelton | Psychologist | 106 Pinnacle Dr, Suite 106, Johnson City, TN 37615-6602 | 2006-08-18 |
| Street Address |
17706 I-30 STE 3 |
| City | BENTON |
| State | AR |
| Zip Code | 72015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053370700 | Kathyrn Elaine Sandusky | Physical Therapist | 17706 I-30, Ste 3, Benton, AR 72015 | 2006-03-21 |
| 1568879849 | Whitney Francis | Occupational Therapy Assistant | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2014-07-17 |
| 1831529957 | Jennifer Dickson | Occupational Therapist | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-11-27 |
| 1629406822 | Tonya Sacomani | Speech-Language Pathologist | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-10-24 |
| 1750714465 | Heidi Hawthorn | Student in an Organized Health Care Education/Training Program | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-08-16 |
| 1811329196 | Carlisa Ford | Occupational Therapist | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-08-08 |
| 1497196125 | Jackie Beck | Occupational Therapy Assistant | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-07-10 |
| 1780025403 | Chelsea Roach | Occupational Therapist | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-07-10 |
| 1104267822 | Brittany Ward | Occupational Therapy Assistant | 17706 I-30, Ste.3, Benton, AR 72019-2907 | 2013-07-10 |
| 1336584978 | Kristine Beard | Student in an Organized Health Care Education/Training Program | 17706 I-30, Ste. 3, Benton, AR 72019-2907 | 2013-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728292 | Carlie Bourland | Speech-Language Pathologist | 256 Bondurant Ln, Benton, KY 42025-5726 | 2020-04-15 |
| 1881182152 | Kristen Grace Farley | Speech-Language Pathologist | 74 Carriage Ln, Benton, KY 42025-5309 | 2018-04-23 |
| 1255859351 | Brittania Marie Webb | Speech-Language Pathologist | 409 E Park St, Benton, IL 62812-1920 | 2017-09-08 |
| 1295253383 | Lisa Page | Speech-Language Pathologist | 1000 E Mckenzie St, Benton, IL 62812-3352 | 2017-09-08 |
| 1477078673 | Pediatric Therapy Partners LLC | Speech-Language Pathologist | 16085 Highway 157, Benton, LA 71006-4707 | 2017-08-08 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1902333933 | Aaron Bean | Speech-Language Pathologist | 2909 Silverton Dr, Benton, AR 72019-8367 | 2017-05-22 |
| 1144761362 | Chelsea Chamberlain | Speech-Language Pathologist | 237 Morgan Ct, Benton, LA 71006-4832 | 2017-03-20 |
| 1104379478 | Victoria Seale | Speech-Language Pathologist | 302 Merril Dr, Benton, AR 72015-4997 | 2016-08-03 |
| 1720453939 | Jill Slayden | Speech-Language Pathologist | 1422 Moors Camp Hwy, Benton, KY 42025-8269 | 2015-12-14 |
| Find all providers in BENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.