MICHELE SHIELDES


Address: 401 E Front St Ste 123, Tyler, TX 75702-8250
Phone: 9035312581

MICHELE SHIELDES (NPI# 1881825180) 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) 1881825180
Entity Type Individual
Full Name MICHELE SHIELDES
Credential M.S. CCC-SLP
Practice Address 401 E Front St Ste 123
Tyler
TX 75702-8250
Mailing Address 1410 Everglades Dr
Tyler
TX 75703-2005
Practice Telephone 9035312581
Practice Fax Number 9035312451
Mailing Telephone (903) 245-7720
Mailing Fax Number 9035312451
Enumeration Date 2009-08-04
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 104642 TX Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1410 Everglades Dr, Tyler, TX 757032005 9032457720
2323 W Front St, Tyler, TX 757027704 9035312581 9035312451

Office Location

Street Address 401 E FRONT ST STE 123
City TYLER
State TX
Zip Code 75702-8250

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982728416 Elizabeth Olivier Occupational Therapist 401 E Front St Ste 123, Tyler, TX 75702-8250 2007-03-19
1457918088 Kathleen George Speech-Language Pathologist 401 E Front St Ste 123, Tyler, TX 75702-8250 2019-05-20
1023508058 Kelsey Leigh Dominy Speech-Language Pathologist 401 E Front St Ste 123, Tyler, TX 75702-8250 2018-05-15
1811373145 Zalyndia Hall Powell Speech-Language Pathologist 401 E Front St Ste 123, Tyler, TX 75702-8250 2015-08-10
1679743934 Laura Kay Kraft Occupational Therapist 401 E Front St Ste 123, Tyler, TX 75702-8250 2008-03-03
1992981377 Tamara Rhyne Physical Therapist 401 E Front St Ste 123, Tyler, TX 75702-8250 2008-01-15
1578758389 Leann M Cargile Occupational Therapist 401 E Front St Ste 123, Tyler, TX 75702-8250 2007-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679116610 Tiffiney Mcmakin Nurse Practitioner 810 E Houston St # 100, Tyler, TX 75702 2019-10-22
1659852507 Krystal Gayle Lilley Licensed Vocational Nurse 100 E Ferguson St Ste 60a, Tyler, TX 75702 2018-08-28
1679029383 Cynthia Lynn Kalawe Physical Therapist 100 E Ferguson, Suite 1204, Tyler, TX 75702 2016-09-01
1649623646 Susan E Oxford Social Worker 13495 Frankston Highway, Tyler, TX 75702 2016-07-14
1053769281 All Kidz Kan Home Health 2902 E Front St, Tyler, TX 75702 2016-05-27
1821415639 Heather Mullins Physical Therapy Assistant 100 E. Ferguson Ste.1204, Tyler, TX 75702 2014-03-19
1346671336 Dennis Keith Johnson Dentist 3081 Hwy. 31 East, Tyler, TX 75702 2013-12-02
1275882201 Bobby Gibson Counselor 401 East Front Street, Ste 233, Tyler, TX 75702 2012-09-06
1144596792 Tina Marie Borke Clinical Neuropsychologist 719 West Front St., Tyler, TX 75702 2012-03-28
1457629529 James Whaley Rapp Specialist/Technologist 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 2011-12-05
Find all providers in zip 75702

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
1033733399 Kathryn Sue Campbell Speech-Language Pathologist 1600 Rice Rd Apt 1421, Tyler, TX 75703-3309 2020-06-02
1770117848 Rebecca C Taylor Speech-Language Pathologist 5619 Bostick Dr, Tyler, TX 75707-2022 2020-02-27
1083261952 Speech Swallowing and Neurological Rehabilitation Pllc Speech-Language Pathologist 117 Alpine Dr, Tyler, TX 75701-7002 2019-08-24
1356909519 Kaylene Rose Mesecher Speech-Language Pathologist 2051 W Cumberland Rd Apt 607, Tyler, TX 75703-7852 2019-06-03
1831679729 Jennifer Christine Zapata Speech-Language Pathologist 17521 Highway 69 S Ste 120, Tyler, TX 75703-5596 2018-08-20
1821578402 Morgan Beckmon Speech-Language Pathologist 2801 Calloway Rd Apt 912, Tyler, TX 75707-1558 2018-08-14
1528556131 Kimberly Marcum Speech-Language Pathologist 921 Shiloh Rd # C120t, Tyler, TX 75703-1431 2018-04-29
1427570084 Darah Lynne Dahlem Speech-Language Pathologist 401 E. Front Street Ste 123, Tyler, TX 75703 2017-07-14
1982132981 Whittle Services LLC Speech-Language Pathologist 1609 Southpoint Dr, Tyler, TX 75701-4548 2017-06-02
1609239995 Ebbonye Whittle Speech-Language Pathologist 100 E. Ferguson, Suite 1204, Tyler, TX 75701 2016-04-04
Find all providers in TYLER

Competitor

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City TYLER
Zip Code 75702

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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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