Shelby K Starks, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4942 Issued in OK

Practice address

70240 S 336 Rd
Wagoner, OK 74467-8642

Phone

(620) 450-6607

NPI assigned

Jul 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, KS2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

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.

• Sis Therapy

  • Speech-Language Pathologist
  • Pratt, KS
  • NPI 1326833195

  OK

  Medicare reassignment NPD Authorized official
• Sonya L Cornwell PHD Clinical Psychologist PLLC

  • Clinical Psychologist
  • Tahlequah, OK
  • NPI 1417508904
  Medicare reassignment NPD
• Ramsey Speech Pathology, LLC

  • Speech-Language Pathologist
  • Muldrow, OK
  • NPI 1245522390
  NPD (past)

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1780160952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MYRTLE ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243505",
            "telephone_number": "620-450-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70240 S 336 RD",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744678642",
            "telephone_number": "620-450-6607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Myrtle St",
            "address_purpose": "LOCATION",
            "city": "Pratt",
            "state": "KS",
            "postal_code": "671243505",
            "country_code": "US",
            "telephone_number": "620-450-6607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARKS",
        "first_name": "SHELBY",
        "middle_name": "K",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "5359",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Solano
• Matthew Trent Soldier
• Andrea L Sory
• Samantha Johnette Sowers
• Sammy Stach
• David Steelmon
• Steinheil Pharmacy Services, LLC
• Steinheil Pharmacy Services, LLC
• Taylor B. Stickelmeyer
• Jayne Helen Stiles, BSW

• Speech-Language Pathologist in Wagoner, OK
• Providers in Wagoner, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.