Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Hentrup

Individual provider Speech-Language Pathologist · NPI 1710615919

Shannon Hentrup is a Qualified Speech Language Pathologist in Louisville, Kentucky. Qualified in 2022, 4 years ago. Practices with Paragon Outpatient Rehabilitation Services LLC, a 200-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2022
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Practice location Address checks out

303 N Hurstbourne Pkwy Ste 200
Louisville, KY 40222-5158
Phone: (502) 412-5847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 46004164A (IN)

Record details

NPI number1710615919
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 15, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Paragon Outpatient Rehabilitation Services Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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