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Active NPI 1881825180 Individual Practitioner Female Practitioner

Michele Shieldes , MS CCC-SLP

Speech-Language Pathologist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Michele Shieldes, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Tyler, TX. Practice services are available at 401 E FRONT ST STE 123 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 E Front St Ste 123

Tyler, TX 757028250

Telephone 9035312581
Fax 9035312451
Associated Practice Facility / Clinic
🏢 Michele D. Shieldes Pllc Facility NPI 1306693767

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.9 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
185 Specialists

Practicing in Tyler, TX (17210 Statewide)

Telehealth Adoption Rate
2.7% 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: 2023-01-23
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 104642

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
205565902 (TX)

Secondary Practice Locations

2323 W Front St

Tyler, TX 757027704

Phone: 9035312581

1410 Everglades Dr

Tyler, TX 757032005

Phone: 9032457720

Practice Associates & Co-Workers

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

16 Associated Practitioners
Cynthia Manes , PT

Physical Therapist

NPI 1003956814

Physical Therapist

Kelsey Dominy , SLP

Speech-Language Pathologist

NPI 1023508058

Speech-Language Pathologist

Nicole Wiggins , OTR, MOT

Occupational Therapist

NPI 1053935866

Occupational Therapist Registered, Master of Occupational Therapy

Shanda Walker , MS CCC-SLP

Speech-Language Pathologist

NPI 1104297092

MSCCCSLP

Haven Hampton

Speech-Language Pathologist

NPI 1174214456
Melissa Guarisco

Occupational Therapist

NPI 1225519697

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active August 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2017

Registered at 401 E FRONT ST STE 123, TYLER, TX 757028250 (Tel: 9035312581)

📍
Updated Business Mailing Address August 21, 2017

Registered at 1410 EVERGLADES DR, TYLER, TX 757032005 (Tel: (903) 245-7720)

👤
Provider Name / Credentials Updated August 21, 2017

Recorded as MICHELE SHIELDES, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2017

Speech-Language Pathologist (License #104642 in TX)

NPI Profile Active January 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2013

Registered at 2323 W FRONT ST, TYLER, TX 757027704 (Tel: 9035312581)

📍
Updated Business Mailing Address January 02, 2013

Registered at 401 E FRONT ST, 123, TYLER, TX 757028213 (Tel: 9035312581)

👤
Provider Name / Credentials Updated January 02, 2013

Recorded as MICHELE SHIELDES, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2013

Speech-Language Pathologist (License #104642 in TX)

🟢
Initial NPI Registration & Enumeration August 04, 2009

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: 1881825180
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2009
Last Update: January 23, 2023
Sole Proprietor: Yes

Mailing Address

1410 Everglades Dr

Tyler, TX 757032005

Phone: 9032457720

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.