KATHLEEN REBEKAH SHEPARD (NPI# 1548452998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548452998 |
| Entity Type | Individual |
| Full Name | KATHLEEN REBEKAH SHEPARD |
| Credential | SLP/CCC |
| Practice Address |
4011 Nw 17th Pl Gainesville FL 32605-3564 |
| Practice Telephone | 3522565072 |
| Practice Fax Number | 8779048450 |
| Mailing Telephone | 3522565072 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2018-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23005 Nw 11th Rd, Ste 2, Newberry, FL 326691911 | 3525625762 | 3524746288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962936310 | Kathleen Bernadette Shepard | Student in an Organized Health Care Education/Training Program | 40833 Ingersoll Ter, Fremont, CA 94538-3581 | 2017-04-12 |
| 1568062057 | Kathleen Jean Shepard | Nurse Practitioner | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2020-10-26 |
| Street Address |
4011 NW 17TH PL |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564202 | Christie L Williams | Speech-Language Pathologist | 4715 Nw 28th Ter, Gainesville, FL 32605-1105 | 2020-10-06 |
| 1962019893 | Miriam Beth Rosenberg | Speech-Language Pathologist | 3843 Sweet Magnolia Dr, Gainesville, GA 30504-5949 | 2020-09-24 |
| 1114534104 | Sharon Cavallaro | Speech-Language Pathologist | 14500 John Marshall Hwy, Gainesville, VA 20155-1605 | 2020-09-24 |
| 1427660786 | Samantha Mallek | Speech-Language Pathologist | 10511 Wharfdale Pl, Gainesville, VA 20155-4871 | 2020-08-18 |
| 1528678158 | Camila Pryor | Speech-Language Pathologist | 2635 Sw 35th Pl Apt 1803, Gainesville, FL 32608-3278 | 2020-08-07 |
| 1477170645 | Kayla Erin Gillispie | Speech-Language Pathologist | 2676 Candler Rd, Gainesville, GA 30507-8961 | 2020-07-02 |
| 1194348631 | Deidre Dodd | Speech-Language Pathologist | 13730 Nw 30th Rd, Gainesville, FL 32606-9325 | 2020-05-19 |
| 1801416557 | Melissa Bray | Speech-Language Pathologist | 2114 Nw 40th Ter Ste C3, Gainesville, FL 32605-3592 | 2020-04-23 |
| 1407403785 | Emily Daisy Herndon | Speech-Language Pathologist | 1676 Sw 16th St, Gainesville, FL 32608-1162 | 2019-08-21 |
| 1700372646 | Carlos Andres Saucedo | Speech-Language Pathologist | 4000 Nw 51st St Apt J174, Gainesville, FL 32606-4353 | 2018-07-03 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
Please comment or provide details below to improve the information on KATHLEEN REBEKAH SHEPARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.