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

Q: 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.

Q: What is Ryan Shade's specialty?

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

Q: 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 13 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.

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: August 09, 2026.

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

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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. She is a graduate of Other (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

Phone(814) 205-1404

Fax(814) 201-2021

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3577063916

PECOS Enrollment IDI20250821000841

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.

AIMEE LYNN DANTOS MS

Speech-Language Pathologist