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Jayde Sue Shank , MA CCC-SLP

Speech-Language Pathologist β€’ Athens, OH

Active NPI 1417350869 Individual Practitioner Female Practitioner
Practice location in NPPES

141 Columbus Rd
Athens, OH 457011315

Call 7405895132 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

141 Columbus Rd

Athens, OH 457011315

Telephone 7405895132
Organization at the Same NPPES Address or Phone
Hopewell Health Centers, Inc. Facility NPI 1003500919

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Athens and Ohio

23 active clinicians are listed under Speech-Language Pathologist with a practice address in Athens, OH (7,644 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Athens

0% of these 23 clinicians have the CMS telehealth indicator.

8.7% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-27
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES OH 10361

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0 (OH)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1093708661

Doctor of Osteopathic Medicine (D.O.)

Amanda Pack , NP

Nurse Practitioner - Family

NPI 1609329085

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location December 27, 2022

Registered at 141 COLUMBUS RD, ATHENS, OH 457011315 (Tel: 7405895132)

πŸ“
Updated Business Mailing Address December 27, 2022

Registered at PO BOX 188, CHILLICOTHE, OH 456010188 (Tel: 7407734366)

πŸ“
Updated Business Mailing Address September 08, 2022

Registered at 5251 RAYMAR DR., ALBANY, OH 45710 (Tel: 7405912101)

πŸ‘€
Provider Name / Credentials Updated September 08, 2022

Recorded as JAYDE SHANK, MA CCC-SLP

βœ…
NPI Profile Active September 30, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 30, 2014

Registered at 3619 FOX LAKE ROAD, NEW MARSHFIELD, OH 45766 (Tel: 7405912101)

πŸ“
Business Mailing Address (Initial Record) September 30, 2014

Registered at 3619 FOX LAKE ROAD, NEW MARSHFIELD, OH 45766 (Tel: 7405912101)

πŸ‘€
Provider Name / Credentials (Initial Record) September 30, 2014

Recorded as JAYDE GATER, M.A. CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2014

Speech-Language Pathologist (license number reported to NPPES: OH 10361)

🟒
Initial NPI Registration & Enumeration September 30, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417350869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2014
Last Update: December 27, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 188

Chillicothe, OH 456010188

Phone: 7407734366

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.