Individual provider Active NPI

Shelby Hood, SLP

  • Speech-Language Pathologist
  • Okolona, MS
National Provider Identifier
1922459080
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S4221 Issued in MS
Practice address
30130 Smith Dr
Okolona, MS 38860-9409
Phone
(662) 640-5729
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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 S4221 MS Primary

Addresses

Primary practice location

30130 Smith Dr
Okolona, MS 38860-9409

Mailing address

30130 Smith Dr
Okolona, MS 38860-9409
Phone (662) 640-5729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705001090 MS Practitioner - Qualified Speech Language Pathologist 9638613300 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S4221MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Vista Rehab, Inc CurrentSince Jan 28, 2026 Accepting new patients
Tri-Vista Rehab, Inc Speech-Language Pathologist CurrentSince Jan 28, 2026 Accepting new patients

Locations

90 Clark Blvd
#A
Tupelo, MS 38804
Phone (662) 205-4282

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1922459080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30130 SMITH DR",
            "city": "OKOLONA",
            "state": "MS",
            "postal_code": "388609409",
            "telephone_number": "662-640-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30130 SMITH DR",
            "city": "OKOLONA",
            "state": "MS",
            "postal_code": "388609409",
            "telephone_number": "662-640-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "SHELBY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S4221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okolona, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.