Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629464706 Individual Practitioner Male Practitioner

Shane James , MS CCC-SLP

Speech-Language Pathologist • Bountiful, UT

Professional Overview & Biography Verified Profile Summary

Shane James, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bountiful, UT. Practice services are available at 425 MEDICAL DR STE 122 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

425 Medical Dr Ste 122

Bountiful, UT 84010

Telephone 8017190754
Fax 3852756764

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bountiful, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
37 Specialists

Practicing in Bountiful, UT (1352 Statewide)

Telehealth Adoption Rate
0.0% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License UT 284413-4102-20150323

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

4 Associated Practitioners
John Wald , MCD

Speech-Language Pathologist

NPI 1134644453
Kayleen Rodemack , MS CCC-SLP

Speech-Language Pathologist

NPI 1194260307

MSCCCSLP

Diane Nilsson , MS, CCC-SLP

Speech-Language Pathologist

NPI 1447601083

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Krista Heywood , MS, CCC-SLP

Speech-Language Pathologist

NPI 1467049106

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 22, 2018

Registered at 425 MEDICAL DR STE 122, BOUNTIFUL, UT 84010 (Tel: 8017190754)

📍
Updated Business Mailing Address May 22, 2018

Registered at 425 MEDICAL DR STE 122, BOUNTIFUL, UT 840104956 (Tel: 8017190754)

NPI Profile Active April 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2015

Registered at 701 ROSE BLOSSOM DR, LAYTON, UT 840414239 (Tel: 2088817098)

📍
Updated Business Mailing Address April 15, 2015

Registered at 701 ROSE BLOSSOM DR, LAYTON, UT 840414239 (Tel: 2088817098)

👤
Provider Name / Credentials Updated April 15, 2015

Recorded as SHANE JAMES, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2015

Speech-Language Pathologist (License #284413-4102-20150323 in UT)

🟢
Initial NPI Registration & Enumeration April 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1629464706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2015
Last Update: May 22, 2018
Sole Proprietor: Yes

Mailing Address

425 Medical Dr Ste 122

Bountiful, UT 840104956

Phone: 8017190754

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.