Active NPI
Shelby Nicole Latham, M.S., CCC-SLP
- Speech-Language Pathologist
- Greenville, KY
National Provider Identifier
1942544069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4123
- Practice address
- 123 S Main St
Greenville, KY 42345-1539 - Phone
- (270) 977-6707
- Fax
- (270) 713-1718
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 142307 | KY | |
| Speech-Language Pathologist | 235Z00000X | 4123 | Primary |
Addresses
Primary practice location
123 S Main St
Greenville, KY 42345-1539
Mailing address
123 S Main St
Greenville, KY 42345-1539
Phone (270) 641-0165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
123 S Main St
Greenville, KY 42345-1539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4123 | KY | MD | Dentist |
| 142307 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muhlenberg Dyslexia Consultants, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
123 S Main St
Greenville, KY 42345
Phone (270) 641-0165
2350 Anton Rd
Madisonville, KY 42431
Phone (270) 641-0165
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Greenville, KY
- NPI 1144042946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1942544069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S MAIN ST",
"city": "GREENVILLE",
"state": "KY",
"postal_code": "423451539",
"telephone_number": "270-641-0165",
"fax_number": "270-713-1718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S MAIN ST",
"city": "GREENVILLE",
"state": "KY",
"postal_code": "423451539",
"telephone_number": "270-977-6707",
"fax_number": "270-713-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATHAM",
"first_name": "SHELBY",
"middle_name": "NICOLE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "142307",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": "4123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.