MRS. SHAYNA JANE LUTTRELL (M.S. CCC SLP) – Speech-Language Pathologist, NPI 1073760666

MRS. SHAYNA JANE LUTTRELL (M.S. CCC SLP) is a healthcare provider. based in Vine grove, Kentucky. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.S. CCC SLP. They hold a License No. KY-3307 (KY). The NPI Number for MRS. SHAYNA JANE LUTTRELL (M.S. CCC SLP) is 1073760666

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHAYNA JANE LUTTRELL (M.S. CCC SLP)
NPI
1073760666
Phone
(270) 307-8136
Address
230 HUNTERS DR
Enumeration Date
26 August 2008
Last Update Date
7 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8445027996
Graduation Year
2004 (22 years ago)
PAC ID
5890181333
Group Practice PAC ID
1850729211
Professional Enrollment ID
I20220415001289
Address ID
KY405131979LE1165XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

146 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in KY

Provider Addresses for MRS. SHAYNA JANE LUTTRELL (M.S. CCC SLP)

  • 230 HUNTERS DR

    VINE GROVE, KY 401757103

    Phone: (270) 307-8136

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220408000955IQualified Speech Language PathologistINTBD
I20220415001289IQualified Speech Language PathologistKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97130Therapy procedure for a range of mental processes, each additional 15 minutes34511$0
92507Treatment of speech, language, voice, communication, and/or hearing processing disorder26927$0
97129Therapy procedure for a range of mental processes, initial 15 minutes15111$0
92523Evaluation of speech sound production with evaluation of language comprehension and expression1514$0
View full utilization report →

Insurance plans in this area (ZIP 40175)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850729211View full group profile
NameSpecialtyState
Nurse PractitionerKY
Qualified Speech Language PathologistKY
Physical Therapist In Private PracticeKY
Family PracticeKY
Family PracticeKY
Occupational Therapist In Private PracticeIN
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Occupational Therapist In Private PracticeKY
Occupational Therapist In Private PracticeKY

Reviews

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Frequently asked questions

Does MRS. SHAYNA JANE LUTTRELL (M.S. CCC SLP) have a public NPI I can cite?
Public records show MRS. SHAYNA JANE LUTTRELL (M.S. CCC SLP) under NPI 1073760666.
Should I treat MRS. SHAYNA JANE LUTTRELL (M.S. CCC SLP) as an active provider?
Patients and plans typically see MRS. SHAYNA JANE LUTTRELL (M.S. CCC SLP) as active in the national extract.
How should patients interpret MRS. SHAYNA JANE LUTTRELL (M.S. CCC SLP)'s specialty?
The extract shows Speech-Language Pathologist for MRS. SHAYNA JANE LUTTRELL (M.S. CCC SLP). Clinical services aligned with this taxonomy classification.
Is MRS. SHAYNA JANE LUTTRELL (M.S. CCC SLP) tied to Vine Grove, Kentucky?
If you are local to Vine Grove, Kentucky, MRS. SHAYNA JANE LUTTRELL (M.S. CCC SLP) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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