SHELLEY LANDRY (NPI# 1992230148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992230148 |
| Entity Type | Individual |
| Full Name | SHELLEY LANDRY |
| Practice Address |
500 South St Ste 300 Vidor TX 77662-6183 |
| Mailing Address |
305 Ne Loop 820 Business Tower 1, Suite 200 Hurst TX 76053-7209 |
| Practice Telephone | 4094984066 |
| Mailing Telephone | 8172928787 |
| Mailing Fax Number | 8177896849 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 113485 | TX | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 87 Interstate 10 N, Suite 225, Beaumont, TX 777072544 | 4098350228 | 4098350151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073590428 | Shelley M Landry | Physician Assistant | 789 Central Ave, Dover, NH 03820-2526 | 2005-12-28 |
| Street Address |
500 SOUTH ST STE 300 |
| City | VIDOR |
| State | TX |
| Zip Code | 77662-6183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740736529 | Krista Marie Grasser | Occupational Therapist | 500 South St Ste 300, Vidor, TX 77662-6183 | 2016-08-31 |
| 1558876334 | Caitlyn Purks | Speech-Language Pathologist | 500 South St Ste 300, Vidor, TX 77662-6183 | 2017-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497033674 | Minor Home Healthcare & Housekeeping Associates | Custodial Care Facility | 2730 Hwy 12 Ste. 2, Vidor, TX 77662 | 2011-07-22 |
| 1356477764 | Vidor Pharmacy LLC. | Durable Medical Equipment & Medical Supplies | 1130 N Main St, Vidor, TX 77662 | 2007-02-27 |
| 1114566833 | Crystal Young | Nurse Practitioner | 2353 N Main St, Vidor, TX 77662-2610 | 2019-12-27 |
| 1770035966 | Terri Jo Clark | Nurse Practitioner | 2353 N Main St, Vidor, TX 77662-2610 | 2016-11-04 |
| 1952798191 | Suhani Bhakta | Family Medicine | 2353 N Main St, Vidor, TX 77662-2610 | 2015-04-24 |
| 1801999727 | Jason M Holmes | Chiropractor | 2612 N Main St, Vidor, TX 77662-2674 | 2006-09-06 |
| 1598038564 | American Eagle Medical Supply | Durable Medical Equipment & Medical Supplies | 2612 N Main St, Vidor, TX 77662-2674 | 2012-02-21 |
| 1174023691 | Kathy Blankenship | Home Health | 615 Evangeline Dr, Vidor, TX 77662-2719 | 2018-02-21 |
| 1770646150 | Promed Medical & Respiratory Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1465 N Main St, Vidor, TX 77662-3009 | 2006-12-18 |
| 1972584852 | Texas Total Care,inc. | Home Health | 1880 N Main St, Vidor, TX 77662-3018 | 2005-11-08 |
| Find all providers in zip 77662 | ||||
| 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 |
|---|---|---|---|---|
| 1255959532 | Elizabeth Marie Reisch | Speech-Language Pathologist | 140 W Circle Dr, Vidor, TX 77662-9002 | 2020-07-13 |
| 1083266142 | Corynn Stokes | Speech-Language Pathologist | 500 South St Unit 300, Vidor, TX 77662-6183 | 2019-07-09 |
| 1306326947 | Laura Jean Carden | Speech-Language Pathologist | 225 S Main St, Vidor, TX 77662-5745 | 2018-08-14 |
| 1558876334 | Caitlyn Purks | Speech-Language Pathologist | 500 South St Ste 300, Vidor, TX 77662-6183 | 2017-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083430 | Laura Gallups | Speech-Language Pathologist | 25 Leonard Trl, Westworth Village, TX 76114-4037 | 2020-11-07 |
| 1215538509 | Laura Langford Smith | Speech-Language Pathologist | 7309 Janna Dr, Abilene, TX 79606-5323 | 2020-11-04 |
| 1629679725 | Haley Brawner Warren | Speech-Language Pathologist | 5800 Broadway Ste 106, San Antonio, TX 78209-5257 | 2020-11-04 |
| 1639770142 | Kaitlyn Hazlewood | Speech-Language Pathologist | 7204 Ellis Rd, Fort Worth, TX 76112-4302 | 2020-11-03 |
| 1538760137 | Stefani Stovall | Speech-Language Pathologist | 203 Bo Gibbs Blvd, Glen Rose, TX 76043 | 2020-11-02 |
| 1285234971 | Hilary Rodriguez Febus | Speech-Language Pathologist | 1 Hermann Park Ct Apt 111, Houston, TX 77021-2273 | 2020-10-30 |
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1477153815 | Into Words Therapy Pllc | Speech-Language Pathologist | 11501 Oak Knoll Dr, Austin, TX 78759-3802 | 2020-10-26 |
| 1174122618 | Thoughtful Slp, Pllc | Speech-Language Pathologist | 7806 Copperas Dr, Austin, TX 78749-3807 | 2020-10-24 |
| 1194324723 | Ashley Panakezham | Speech-Language Pathologist | 800 Bonaventure Way Ste 147, Sugar Land, TX 77479-8006 | 2020-10-24 |
| Find all providers with the same taxonomy | ||||
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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.