Shannon Shelton Whittenburg, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY-2404 Issued in KY

Practice address

94 Foothills Ave
Albany, KY 42602-1091

Phone

(606) 451-9672

NPI assigned

Mar 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1647734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1891444709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 GRIDER HILL DOCK RD",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426027178",
            "telephone_number": "606-387-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 FOOTHILLS AVE",
            "city": "ALBANY",
            "state": "KY",
            "postal_code": "426021091",
            "telephone_number": "606-451-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTENBURG",
        "first_name": "SHANNON",
        "middle_name": "SHELTON",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-20",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-2404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Tompkins
• Twin Lakes MRI,LLC
• Gary Walter Upchurch, OD
• Vision Care of Albany Inc.
• Keylee Stalcup Watson, PT, DPT
• Ryan Wilcox, RN
• William Calvin Powell, MD PSC
• Chastity Polston Willoughby, MHC
• Sarah Luann Wilson-Browning, LPCC
• Michael Anthony Wilson, D.O.

• Speech-Language Pathologist in Albany, KY
• Providers in Albany, 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 Mar 20, 2022; 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.