Individual provider Active NPI

Holly Samantha Sheroan, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Vine Grove, KY
National Provider Identifier
1306005251
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12135034 Issued in NU
Practice address
922 Hickory Dr
Vine Grove, KY 40175-1020
Phone
(270) 317-3801
Fax
(270) 877-7237
NPI assigned
Jun 5, 2008
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12135034 NU Primary

Addresses

Primary practice location

922 Hickory Dr
Vine Grove, KY 40175-1020

Mailing address

922 Hickory Dr
Vine Grove, KY 40175-1020
Phone (270) 317-3801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Inclusive Therapy Services LLC Speech-Language Pathologist CurrentSince Sep 25, 2022 Accepting new patients
Chatterbox Therapy Services Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1306005251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 HICKORY DR",
            "city": "VINE GROVE",
            "state": "KY",
            "postal_code": "401751020",
            "telephone_number": "270-317-3801",
            "fax_number": "270-877-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 HICKORY DR",
            "city": "VINE GROVE",
            "state": "KY",
            "postal_code": "401751020",
            "telephone_number": "270-317-3801",
            "fax_number": "270-877-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEROAN",
        "first_name": "HOLLY",
        "middle_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": "12135034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vine Grove, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.