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DR. JO SHACKELFORD ED.D., CCC-SLP
NPI 1740527100
Speech-Language Pathologist in Bowling Green, KY

Active since January 04, 2013
1918 MOSSWOOD DR, BOWLING GREEN, KY 42104(270) 202-3316 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jo Shackelford Ed.d., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JO SHACKELFORD ED.D., CCC-SLP (NPI 1740527100) is an individual speech-language pathologist provider in Bowling Green, Kentucky, licensed in Kentucky (1374) and active in the NPI registry since January 2013. She is a graduate of Other (1986).

NPPES Registry Identity

NPI1740527100
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameDR. JO SHACKELFORDCredential: ED.D., CCC-SLP
Location Address1918 MOSSWOOD DRBowling Green, KY 42104-4550
Mailing Address1133 Chestnut St., #3Bowling Green, KY 42101 · (270) 202-3316
Phone(270) 202-3316
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJanuary 4, 2013
Last NPPES UpdateFebruary 26, 2020
✔ NPI 1740527100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in KY · 1374
Definition
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.
1918 MOSSWOOD DR, Bowling Green, KY 42104
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Other Names 1

Former Name (1)Jo Mcelroy Fitzherbert

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jo Shackelford Ed.d., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638302938
PECOS Enrollment IDI20240202001787

Medicare Billing Reassignment

Medicare enrollment records show Jo Shackelford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Massachusetts
831 mi
Audiologist
358 NORTH PLEASANT ST
Amherst, MA 01003
  • Reassigned Medicare billing, Massachusetts enrollment
  • 7 clinicians in this Medicare group
NPI 1821171059 (413) 545-2565

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONNECTIONS SPEECH & LANGUAGE SERVICES
Speech-Language Pathologist
1918 MOSSWOOD DR
BOWLING GREEN, KY 42104
Warren County (270) 202-3316

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jo Shackelford's NPI number?

The NPI number for Jo Shackelford is 1740527100. It was assigned to this individual provider in the NPPES registry on January 4, 2013. The provider is also known as Jo Mcelroy Fitzherbert.

Where is Jo Shackelford located?

Jo Shackelford practices at 1918 Mosswood Dr, Bowling Green, KY 42104. The listed phone number is (270) 202-3316.

What is Jo Shackelford's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jo Shackelford enrolled in Medicare?

Yes. Jo Shackelford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jo Shackelford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jo Shackelford reassigns Medicare benefits to University Of Massachusetts (Amherst, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jo Shackelford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jo Shackelford accept?

Health plans from Anthem Blue Cross and Blue Shield list Jo Shackelford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jo Shackelford was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.