Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992349344 Individual Practitioner Female Practitioner

Shelby Lynn Jack , MS, CCC-SLP

Speech-Language Pathologist • Lawrence, KS

Professional Overview & Biography Verified Profile Summary

Shelby Jack, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Lawrence, KS. Practice services are available at 1501 INVERNESS DR under active NPI credentials.

Frequently performed procedures and clinical services include treatment of speech, language, voice, communication, and/or hearing processing disorder, evaluation of speech sound production with evaluation of language comprehension and expression. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1501 Inverness Dr

Lawrence, KS 660471870

Telephone 4172096270
Associated Practice Facility / Clinic
🏢 Snh Toto Tenant Llc Facility NPI 1659925428

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lawrence, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.9 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
68 Specialists

Practicing in Lawrence, KS (1513 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
20.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder
205 20 $97.15 $76.43
92523 Evaluation of speech sound production with evaluation of language comprehension and expression
12 12 $237.81 $191.39

Medical Specialties & State Licenses

CMS Verified: 2024-08-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Patricia Putnam , COTA

Occupational Therapy Assistant

NPI 1053517425

Certified Occupational Therapy Assistant

Amanda Steffen

Occupational Therapist

NPI 1063032985
Sarah Williams , COTA

Occupational Therapy Assistant

NPI 1184164220

Certified Occupational Therapy Assistant

Joni Fornelli , OTR

Occupational Therapist

NPI 1548472608

Occupational Therapist Registered

Dr. Larissa Mitchell , DPT

Physical Therapist

NPI 1952923112

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
👤
Provider Name / Credentials Updated August 12, 2024

Recorded as SHELBY JACK, M.S., CCC-SLP

📍
Updated Practice Location October 01, 2020

Registered at 1501 INVERNESS DR, LAWRENCE, KS 660471870 (Tel: 4172096270)

📍
Updated Business Mailing Address October 01, 2020

Registered at 1311 E 100TH TER, KANSAS CITY, MO 641313311 (Tel: 4172096270)

👤
Provider Name / Credentials Updated October 01, 2020

Recorded as SHELBY JACOBS, M.S., CCC-SLP

NPI Profile Active October 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2019

Registered at 2400 W BROWN ST, SAN SABA, TX 768773863 (Tel: 3253878123)

📍
Updated Business Mailing Address October 29, 2019

Registered at 3800 OZARK DR, KILLEEN, TX 765496646 (Tel: 4172096270)

👤
Provider Name / Credentials Updated October 29, 2019

Recorded as SHELBY JACOBS, M.S., SLP-CFY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2019

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration October 29, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992349344
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2019
Last Update: August 12, 2024
Sole Proprietor: No

Mailing Address

1311 E 100th Ter

Kansas City, MO 641313311

Phone: 4172096270

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.