Kanessia Shepard , MA, CCC-SLP
Speech-Language Pathologist • Upper Marlboro, MD
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kanessia Shepard has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Kanessia Shepard, MA, CCC-SLP was a registered Speech-Language Pathologist practicing in Upper Marlboro, MD. Throughout an active medical career spanning 21 years, Kanessia Shepard provided care at the practice location at 9716 LAKE POINTE CT APT 101 until profile deactivation on 2026-03-20.
Practice Location & Contact Primary Location
9716 Lake Pointe Ct Apt 101
Upper Marlboro, MD 207744714
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Upper Marlboro, MD
Practicing in Upper Marlboro, MD (4547 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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.
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Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record officially reactivated for active practice on March 26, 2026
Record deactivated on March 20, 2026
NPI status registered as active in NPPES database
Registered at 9716 LAKE POINTE CT APT 101, UPPER MARLBORO, MD 207744714 (Tel: 2407887089)
Registered at 9716 LAKE POINTE CT APT 101, UPPER MARLBORO, MD 207744714 (Tel: 2407887089)
Recorded as KANESSIA SHEPARD, MA, CCC-SLP
Speech-Language Pathologist (License #05330 in MD)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
9716 Lake Pointe Ct Apt 101
Upper Marlboro, MD 207744714
Phone: 2407887089
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