Shelby Rebadomia

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

110 N 4TH St
Bearden, AR 71720-8827

Phone

(870) 807-2285

NPI assigned

Jun 2, 2016

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Shelby McWhorter Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2025.

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1629426465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 POPLAR",
            "city": "BEARDEN",
            "state": "AR",
            "postal_code": "717208951",
            "telephone_number": "870-807-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 4TH ST",
            "city": "BEARDEN",
            "state": "AR",
            "postal_code": "717208827",
            "telephone_number": "870-807-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBADOMIA",
        "first_name": "SHELBY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AR",
            "license": "202912",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "MCWHORTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Elizabeth Kirksey, APN
• Megan Elizabeth Launius, LMSW
• Laura Alice Mitchell, C.C.C.-S.L.P.
• Sandra Elaine Mosley, FNP-C
• Kayla Nutt, PTA
• Restoration Reins, PLLC
• Emma Sullivent, PTA
• Superintendent of Bearden High School Bearden School District 53
• Team KTK LLC
• Totty Enterprises Inc.

• All providers in Bearden, AR
• Speech-Language Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.