SHELLY NIELSON (NPI# 1750435897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750435897 |
| Entity Type | Individual |
| Full Name | SHELLY NIELSON |
| Credential | MA |
| Practice Address |
1084 W. San Tan Hills Queen Creek AZ 85242 |
| Mailing Address |
3291 E Hampton Ln Gilbert AZ 85297-6522 |
| Practice Telephone | 4808887515 |
| Practice Fax Number | 4806556137 |
| Mailing Telephone | 4806599799 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP1787 | AZ | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 872293 | 01 |
| Street Address |
1084 W. SAN TAN HILLS |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932430618 | Di Nguyen | Pharmacist | 3111 West Hunt Highway, Queen Creek, AZ 85242 | 2010-01-20 |
| 1174857056 | Jessica Lynn Donnelly | Behavioral Analyst | 21007 E. Avendia Del Valle, Queen Creek, AZ 85242 | 2009-09-25 |
| 1306093984 | Charles Mckenzie | Dentist | 40815 N Ironwood Drive, Ste A102, Queen Creek, AZ 85242 | 2008-08-26 |
| 1104014943 | Queen Creek Smiles, LLP | Dentist | 18550 East Rittenhouse Road, Suite 103, Queen Creek, AZ 85242 | 2007-10-05 |
| 1972700359 | Sunrise Internal Medicine PC | Internal Medicine | 22707 S. Ellsworth Rd., Suite #h105, Queen Creek, AZ 85242 | 2007-06-29 |
| 1083811277 | Brian Joseph Goodman | Dentist | 18610 E. Rittenhouse Rd., Queen Creek, AZ 85242 | 2007-06-29 |
| 1972704757 | San Tan Urgent Care Health Center | Clinic/Center | 21321 E Ocotillo Road, Suite 118, Queen Creek, AZ 85242 | 2007-05-30 |
| 1538375647 | Jennifer Jean Job | Occupational Therapy Assistant | 3575 E Lawndale Place, Queen Creek, AZ 85242 | 2007-05-15 |
| 1972718823 | Eric Joseph Harris | Dentist | 20261 E. Ocotillo Road, Suite 120, Queen Creek, AZ 85242 | 2007-05-14 |
| 1477767010 | San Tam Dental Care & Mobile Clinic PC | Dentist | 22240 S Ellsworth Rd, Suite 102, Queen Creek, AZ 85242 | 2007-05-10 |
| Find all providers in zip 85242 | ||||
| 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 |
|---|---|---|---|---|
| 1881212579 | Paige Rachelle Vetter | Speech-Language Pathologist | 22700 S Power Rd, Queen Creek, AZ 85142-4507 | 2020-07-08 |
| 1962023549 | Valerie Trujillo | Speech-Language Pathologist | 18655 E Jacaranda Blvd, Queen Creek, AZ 85142-3669 | 2020-05-05 |
| 1003374232 | Karen L Thomas | Speech-Language Pathologist | 22048 S Ellsworth Rd, Queen Creek, AZ 85142-7019 | 2019-03-06 |
| 1023486768 | Lauren Crane | Speech-Language Pathologist | 18447 E Sparrow Dr, Queen Creek, AZ 85142-5155 | 2015-09-11 |
| 1922310101 | Rachelle Nevitt Rauma | Speech-Language Pathologist | 2619 W Cool Water Way, Queen Creek, AZ 85142-5900 | 2010-07-05 |
| 1174842892 | Esperanza H. Van Den Boom | Speech-Language Pathologist | 18602 E Old Beau Trl, Queen Creek, AZ 85142-3518 | 2010-05-20 |
| 1134307697 | Whitney Sanfilippo | Speech-Language Pathologist | 23636 S. 204th St., Queen Creek, AZ 85142-7784 | 2008-02-07 |
| 1932388782 | Linda Ann Morgan | Speech-Language Pathologist | 33622 N Mountain Vista Blvd, Queen Creek, AZ 85242-3162 | 2007-10-29 |
| 1477746931 | Barbara J Gabriel-conley | Speech-Language Pathologist | 21256 E Sunset Dr, Queen Creek, AZ 85142-5074 | 2007-08-19 |
| 1952500829 | Nadine Elisabeth Finnefrock | Speech-Language Pathologist | 40300 North Simoton Blvd., Kathryn Sue Simonton Elementary School, Queen Creek, AZ 85241 | 2007-07-12 |
| Find all providers in QUEEN CREEK | ||||
| City | QUEEN CREEK |
| Zip Code | 85242 |
Please comment or provide details below to improve the information on SHELLY NIELSON.
| 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.