RYAN JESSICA SHADE SLP
NPI 1912738378
Speech-Language Pathologist in Altoona, PA

Active since August 08, 2024
501 VALLEY VIEW BLVD, ALTOONA, PA 16602(814) 205-1404(814) 201-2021 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2025, Aug 8, 2024 (2 updates tracked since 2024).

About Ryan Jessica Shade Slp NPPES

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

RYAN JESSICA SHADE SLP (NPI 1912738378) is an individual speech-language pathologist provider in Altoona, Pennsylvania, licensed in Pennsylvania (SL018563) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1912738378
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameRYAN JESSICA SHADECredential: SLP
Location Address501 VALLEY VIEW BLVDAltoona, PA 16602-6410
Mailing Address310 Penn St Ste 103Hollidaysburg, PA 16648-2044 · (814) 205-1404 · Fax (814) 201-2021
Fax(814) 201-2021
Sole ProprietorNo
Enumeration DateAugust 8, 2024
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1912738378 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 PA · SL018563
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.
501 VALLEY VIEW BLVD, Altoona, PA 16602

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Jessica Shade Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Physical Therapist
3200 FAIRWAY DR
Altoona, PA 16602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 22 clinicians in this Medicare group

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 20

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

Speech-Language Pathologist
501 VALLEY VIEW BLVD
ALTOONA, PA 16602
Speech-Language Pathologist
501 VALLEY VIEW BLVD
ALTOONA, PA 16602
Speech-Language Pathologist
501 VALLEY VIEW BLVD
ALTOONA, PA 16602
Speech-Language Pathologist
501 VALLEY VIEW BLVD
ALTOONA, PA 16602
Physical Therapist
501 VALLEY VIEW BLVD
ALTOONA, PA 16602
Physical Therapist
501 VALLEY VIEW BLVD
ALTOONA, PA 16602
Speech-Language Pathologist
501 VALLEY VIEW BLVD
ALTOONA, PA 16602
Early Intervention Provider Agency
501 VALLEY VIEW BLVD
ALTOONA, PA 16602

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 Ryan Shade's NPI number?

The NPI number for Ryan Shade is 1912738378. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Ryan Shade located?

Ryan Shade practices at 501 Valley View Blvd, Altoona, PA 16602. The listed phone number is (814) 205-1404.

What is Ryan Shade's specialty?

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

Is Ryan Shade enrolled in Medicare?

Yes. Ryan Shade is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Shade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Shade reassigns Medicare benefits to Procare Pt LP (Altoona, PA). 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 Ryan Shade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Shade accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ryan Shade 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 Ryan Shade was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.