Shelby Mary Jacob
NPI 1154033298ActiveIndividual· Specialist/Technologist, Speech-Language Assistant· Tampa, FL
Specialist/Technologist, Speech-Language Assistant in Tampa, Florida, with an NPI issued in December 2022. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1154033298 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 20, 2022 |
| Last updated in NPPES | Dec 20, 2022 |
| Certified by provider | Dec 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Speech-Language Assistant Primary | 2355S0801X | — | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (FL) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
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All 38 Specialist/Technologist, Speech-Language Assistant providers in Tampa · All Specialist/Technologist, Speech-Language Assistant providers in Florida