Patricia Shelton
Speech-Language Pathologist, in Polk City, IA. Individual provider (NPI-1).
NPI number1639749047
StatusActive
Last updated in NPPESJun 28, 2021
Details
- NPI
- 1639749047
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Patricia Shelton
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 28, 2021
- Certification date
- Jun 28, 2021
- Last updated
- Jun 28, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 00741 | IA | Yes |
Practice location
1608 W Prairie Wood CtPolk City, IA 50226-1161
Phone 515-314-0374
Mailing address
1608 W Prairie Wood CtPolk City, IA 50226-1161
Phone 515-314-0374
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Other Speech-Language Pathologist providers in Polk City, IA
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