Stephanie Lauren Shelby, CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S-4844 Issued in MS

Practice address

4805 W 4TH St
Hattiesburg, MS 39402

Phone

(601) 270-6968

Fax

(601) 336-5255

NPI assigned

Sep 3, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Stephanie Lauren Murrell Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aultman Speech Therapy Services, LLC

  • Speech-Language Pathologist
  • Sumrall, MS
  • NPI 1912154220
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1205504172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021019",
            "telephone_number": "601-270-6968",
            "fax_number": "601-336-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-270-6968",
            "fax_number": "601-336-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "STEPHANIE",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S-4844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://app.fusionwebclinic.com/portal/aultmanspeechtherapy",
            "affiliation": "N",
            "endpointDescription": "Web Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4805 W 4th St",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "39402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MURRELL",
            "middle_name": "LAUREN",
            "prefix": "MISS",
            "credential": "CFY-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eugene Linwood Shannon, M.D.
• Steven C Shapiro, MD
• Shappley Pediatric Therapy LLC
• Nathan P Shappley, M.D.
• Manika Sharma, MD
• Susan Mullen Shemper, DNP, BSN, RN
• Meghann C Sheppeard, MSN, FNP, B.C.
• Jennifer Baker Sheridan
• Richard Sheridan
• Randall L Sherman, MD

• Speech-Language Pathologist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.