Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609053909 Individual Practitioner Female Practitioner

Kerri Shaw , MS, CCC-SLP

Speech-Language Pathologist • Bentonville, AR

Professional Overview & Biography Verified Profile Summary

Kerri Shaw, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bentonville, AR. Practice services are available at 500 TIGER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Tiger Blvd

Bentonville, AR 727124208

Telephone 4792545000
Fax 4792711123
Associated Practice Facility / Clinic
🏢 Bentonville Public Schools Facility NPI 1902941255

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bentonville, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
101 Specialists

Practicing in Bentonville, AR (3707 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AR SP#2154

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1609053909 (AR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Heidi Epperson , MS

Physical Therapist - Pediatrics

NPI 1003856725

Master of Science

Alexandra Norris

Speech-Language Pathologist

NPI 1104438787
Katherine Doss , MS CCC-SLP

Speech-Language Pathologist

NPI 1215664875

MSCCCSLP

Christy Estes

Speech-Language Pathologist

NPI 1356687339
Stephanie Carpenter , MS, OTR, L

Occupational Therapist - Pediatrics

NPI 1386966703

Master of Science, Occupational Therapist Registered, L

Kathleen Hale

Speech-Language Pathologist

NPI 1518395490

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location April 29, 2025

Registered at 500 TIGER BLVD, BENTONVILLE, AR 727124208 (Tel: 4792545000)

📍
Updated Business Mailing Address April 29, 2025

Registered at 500 TIGER BLVD, BENTONVILLE, AR 727124208 (Tel: 4792545000)

👤
Provider Name / Credentials Updated April 29, 2025

Recorded as KERRI SHAW, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Speech-Language Pathologist (License #SP#2154 in AR)

NPI Profile Active August 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2017

Registered at 5401 SR 124, RUSSELLVILLE, AR 728028213 (Tel: 4799684540)

📍
Updated Business Mailing Address August 16, 2017

Registered at 500 RACE RD, POTTSVILLE, AR 728589034 (Tel: (479) 886-0455)

👤
Provider Name / Credentials Updated August 16, 2017

Recorded as KERRI LEWIS, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2017

Speech-Language Pathologist

NPI Profile Active January 29, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 29, 2008

Registered at 7192 SR 247, POTTSVILLE, AR 728588891 (Tel: 4799671843)

📍
Updated Business Mailing Address January 29, 2008

Registered at 7192 SR 247, POTTSVILLE, AR 728588891 (Tel: 4799671843)

👤
Provider Name / Credentials Updated January 29, 2008

Recorded as KERRI LEWIS, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2008

Speech-Language Pathologist (License #SP#2154 in AR)

🟢
Initial NPI Registration & Enumeration January 29, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1609053909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2008
Last Update: April 29, 2025
Sole Proprietor: No

Mailing Address

500 Tiger Blvd

Bentonville, AR 727124208

Phone: 4792545000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.