SHELLY KING


Address: 219 Concord Dr, Normal, IL 61761-2754
Phone: 3094521089

SHELLY KING (NPI# 1831648484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831648484
Entity Type Individual
Full Name SHELLY KING
Credential CCC-SLP
Practice Address 219 Concord Dr
Normal
IL 61761-2754
Practice Telephone 3094521089
Mailing Telephone 3094521089
Enumeration Date 2016-09-23
Last Update Date 2016-09-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 146.013016 IL Speech, Language and Hearing Service Providers

Other Providers SHELLY KING

NPI Name Taxonomy Address Enumeration
1881132009 Shelly Elaine King Community Health Worker 8032 Eagle Ridge Dr, West Chester, OH 45069-1973 2017-02-08
1043504137 Shelly K King Pharmacist 233 E High St, Carlisle, PA 17013-2521 2011-06-06
1114232279 Shelly R King Physical Therapy Assistant 4045 W Royal Dr, Traverse City, MI 49684-8965 2010-08-13
1013169796 Shelly D King Dentist 6900 Daniels Pkwy Ste 30, Fort Myers, FL 33912-1587 2008-10-14
1427044874 Shelly J King Nurse Practitioner 705 Riley Hospital Dr, Suite 4230, Indianapolis, IN 46202-5109 2005-09-21

Office Location

Street Address 219 CONCORD DR
City NORMAL
State IL
Zip Code 61761-2754

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629681796 Brittany Nicole Mekley Nurse Practitioner 201 N. University, Normal, IL 61761 2020-08-28
1679108971 Krystal Halliday Occupational Therapist 1815 N Towanda Barnes Rd, Normal, IL 61761 2020-03-06
1265915474 Laine E Burek Nurse Practitioner 1765 Bradford Ln., Normal, IL 61761 2018-09-13
1801389986 Ashley Michelle James Specialist/Technologist 347 S. University St, Normal, IL 61761 2018-06-12
1447750708 Shelley R. Ruch Specialist/Technologist, Other 1604 Visa Drive, Ste 1, Normal, IL 61761 2018-02-13
1497275069 Mclean County Nursing Home Non-emergency Medical Transport (VAN) 901 N. Main St, Normal, IL 61761 2017-06-23
1235673666 Megan Threm Registered Nurse 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 2016-12-04
1437513553 Tiesha Smith Specialist 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 2016-04-06
1285031658 New Day Recovery Community/Behavioral Health 402 Summit, Normal, IL 61761 2014-12-01
1174927701 Alyssa Marie Bruck Occupational Therapist 700 N Walnut St, Normal, IL 61761 2014-10-10
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487118063 Jean Sawyer Speech-Language Pathologist Mail Code 4720, Normal, IL 61790-0001 2019-01-28
1063991792 Emily Hallstein Speech-Language Pathologist 211 Rachel Cooper, Normal, IL 61790-0001 2018-08-13
1194243063 Sue Ann Blankenship Speech-Language Pathologist 919 S Linden St, Normal, IL 61761-3730 2017-08-31
1952764631 Morgan Leigh Norkiewicz Speech-Language Pathologist 201 Park Drag Ln, Normal, IL 61761-4850 2016-03-31
1053781278 Katie Terese Mueller Speech-Language Pathologist 1606 Hunt Dr Ste 1a, Normal, IL 61761-6185 2015-09-30
1235528555 Neha Kakkar Varma Speech-Language Pathologist 3522 Silverado Trl, Normal, IL 61761-9535 2015-01-12
1700293818 Katherine Marie Stuepfert Speech-Language Pathologist 19 Lateer Dr, Normal, IL 61761-3925 2014-07-21
1295142982 Beth Rooker Speech-Language Pathologist 1611 Budig Dr, Normal, IL 61761-2348 2014-07-15
1821411398 Madelyn Jeffers Speech-Language Pathologist 706 Oglesby Ave Ste 200, Normal, IL 61761-6430 2014-02-03
1942633003 Angela Marie Mier Speech-Language Pathologist 706 Oglesby Ave # 200, Normal, IL 61761-4616 2013-08-13
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Competitor

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City NORMAL
Zip Code 61761

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Dataset Information

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.

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