Shelley Hill Payne, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY-3017 Issued in KY

Practice address

1600 Pembroke Oak Grove Rd
Pembroke, KY 42266-9760

Phone

(270) 887-7290

Fax

(270) 475-9897

NPI assigned

Apr 14, 2008

Last updated

Apr 14, 2008By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pembroke Elementary School

  • Public Health or Welfare Agency
  • Pembroke, KY
  • NPI 1427292259
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1447424171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PEMBROKE OAK GROVE RD",
            "city": "PEMBROKE",
            "state": "KY",
            "postal_code": "422669760",
            "telephone_number": "270-887-7290",
            "fax_number": "270-475-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PEMBROKE OAK GROVE RD",
            "city": "PEMBROKE",
            "state": "KY",
            "postal_code": "422669760",
            "telephone_number": "270-887-7290",
            "fax_number": "270-475-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "SHELLEY",
        "middle_name": "HILL",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-3017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GN174",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Extendicare Homes, Inc. (Pembroke Nursing and Rehabilitation Center)
• Katherine Elizabeth Guy, PTA
• Dana Hollis
• Peyton Leigh Lucero
• Janet L Moore, COTAL
• Pembroke Elementary School
• Pembroke Health Facilities LP (Christian Heights Nursing and Rehabilitation Center)
• Pembroke Operating Company LLC (Christian Heights Nursing and Rehabilitation Center)
• Playtime Pediatric Occupational Therapy
• Pro Step Rehab

• Speech-Language Pathologist in Pembroke, KY
• Providers in Pembroke, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.