Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548452998 Individual Practitioner Female Practitioner

Kathleen Rebekah Shepard , SLP, CCC

Speech-Language Pathologist • Gainesville, FL

Professional Overview & Biography Verified Profile Summary

Kathleen Shepard, SLP, CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Gainesville, FL. Practice services are available at 4011 NW 17TH PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4011 Nw 17th Pl

Gainesville, FL 326053564

Telephone 3522565072
Fax 8779048450
Associated Practice Facility / Clinic
🏢 Green Apple Therapy Facility NPI 1235477944

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Gainesville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
176 Specialists

Practicing in Gainesville, FL (11640 Statewide)

Telehealth Adoption Rate
1.1% 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: 2025-05-21
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NC 30002354

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

State License FL SA9491

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.

Secondary Practice Locations

23005 Nw 11th Rd, Ste 2

Newberry, FL 326691911

Phone: 3525625762

390 S Liberty St

Winston Salem, NC 271015260

Phone: 3369344058

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2025

Speech-Language Pathologist (License #SA9491 in FL)

NPI Profile Active January 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2018

Registered at 4011 NW 17TH PL, GAINESVILLE, FL 326053564 (Tel: 3522565072)

📍
Updated Business Mailing Address January 19, 2018

Registered at 4011 NW 17TH PL, GAINESVILLE, FL 326053564 (Tel: 3522565072)

👤
Provider Name / Credentials Updated January 19, 2018

Recorded as KATHLEEN SHEPARD, SLP/CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2018

Speech-Language Pathologist

NPI Profile Active August 13, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2008

Registered at 23005 NW 11TH RD, STE 2, NEWBERRY, FL 326691911 (Tel: 3525625762)

📍
Updated Business Mailing Address August 13, 2008

Registered at 23005 NW 11TH RD, NEWBERRY, FL 326691911 (Tel: 3525625762)

👤
Provider Name / Credentials Updated August 13, 2008

Recorded as KATHLEEN SHEPARD, SLP/CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2008

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration August 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548452998
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2007
Last Update: May 21, 2025
Sole Proprietor: Yes

Mailing Address

4011 Nw 17th Pl

Gainesville, FL 326053564

Phone: 3522565072

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.