Individual provider Active NPI

Shelby Nicole Latham, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Greenville, KY
National Provider Identifier
1942544069
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20251210000246 KY Practitioner - Qualified Speech Language Pathologist 9133613961 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
4123KYMDDentist
142307KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Muhlenberg Dyslexia Consultants, LLC Speech-Language Pathologist CurrentSince Oct 28, 2025 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.

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.

Verify at the official NPI Registry.