Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164547873 Individual Practitioner Female Practitioner

Shelby Ann Sudholt , MS CCC SLP

Speech-Language Pathologist • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Shelby Sudholt, MS CCC SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Springfield, MO. Practice services are available at 1610 E. SUNSHINE ST. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1610 E. Sunshine St.

Springfield, MO 65804

Telephone 4177420930
Fax 4177422586

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
226 Specialists

Practicing in Springfield, MO (5112 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MO 2005025934

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
465463404 (MO)

Practice Associates & Co-Workers

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

13 Associated Practitioners
Rebecca Mooney , MS CF SLP

Speech-Language Pathologist

NPI 1013033034

MSCFSLP

Brooke Tuck , COTA, L

Occupational Therapy Assistant

NPI 1144002486

Certified Occupational Therapy Assistant, L

Ashlie Ellis

Speech-Language Pathologist

NPI 1265557912
Dr. Casey Sumner , MD

Occupational Therapist

NPI 1306222153

Doctor of Medicine (M.D.)

Lauren Kelley

Physical Therapist

NPI 1386219137
Mollie Leek

Speech-Language Pathologist

NPI 1417280637

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location September 09, 2020

Registered at 1610 E. SUNSHINE ST., SPRINGFIELD, MO 65804 (Tel: 4177420930)

📍
Updated Business Mailing Address September 09, 2020

Registered at 1610 E. SUNSHINE ST., SPRINGFIELD, MO 65804 (Tel: 4177420930)

NPI Profile Active February 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2018

Registered at WILLARD R-II SCHOOLS, 407 FARMER RD, WILLARD, MO 657819509 (Tel: 4177420930)

📍
Updated Business Mailing Address February 13, 2018

Registered at 407 FARMER RD, WILLARD, MO 657819509 (Tel: 4177420930)

👤
Provider Name / Credentials Updated February 13, 2018

Recorded as SHELBY SUDHOLT, MS CCC SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2018

Speech-Language Pathologist (License #2005025934 in MO)

NPI Profile Active February 20, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2009

Registered at WILLARD R-II SCHOOLS, 407 FARMER RD, WILLARD, MO 657819509 (Tel: 4177420930)

📍
Updated Business Mailing Address February 20, 2009

Registered at 407 FARMER RD, WILLARD, MO 657819509 (Tel: 4177420930)

👤
Provider Name / Credentials Updated February 20, 2009

Recorded as SHELBY CHAMBERLAIN, MS CCC SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2009

Speech-Language Pathologist (License #2005025934 in MO)

🟢
Initial NPI Registration & Enumeration March 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1164547873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2007
Last Update: September 09, 2020
Sole Proprietor: Yes

Mailing Address

1610 E. Sunshine St.

Springfield, MO 65804

Phone: 4177420930

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.