KAYLIN A PETERSON SLP
NPI 1346907516
Speech-Language Pathologist in Shawnee, OK

Active since November 23, 2021
3315 KETHLEY RD, SHAWNEE, OK 74804(405) 395-3821(405) 395-3983 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kaylin A Peterson Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLIN A PETERSON SLP (NPI 1346907516) is an individual speech-language pathologist provider in Shawnee, Oklahoma, licensed in Oklahoma (5412) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1346907516
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKAYLIN A PETERSONCredential: SLP
Location Address3315 KETHLEY RDShawnee, OK 74804-9638
Mailing Address3315 Kethley RdShawnee, OK 74804-9638 · (405) 395-3821 · Fax (405) 395-3983
Fax(405) 395-3983
Sole ProprietorYes
Enumeration DateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
✔ NPI 1346907516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in OK · 5412
Definition
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.
3315 KETHLEY RD, Shawnee, OK 74804

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaylin A Peterson Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kaylin Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
777 NW 63RD ST STE 452
Oklahoma City, OK 73116
  • Reassigned Medicare billing, Oklahoma enrollment
  • 507 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Physician Assistant
3315 KETHLEY RD
SHAWNEE, OK 74804
Surgery
3315 KETHLEY RD
SHAWNEE, OK 74804
Orthopaedic Surgery
3315 KETHLEY RD
SHAWNEE, OK 74804
Internal Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Internal Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Family Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Pediatrics
3315 KETHLEY RD
SHAWNEE, OK 74804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaylin Peterson's NPI number?

The NPI number for Kaylin Peterson is 1346907516. It was assigned to this individual provider in the NPPES registry on November 23, 2021.

Where is Kaylin Peterson located?

Kaylin Peterson practices at 3315 Kethley Rd, Shawnee, OK 74804. The listed phone number is (405) 395-3821.

What is Kaylin Peterson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kaylin Peterson enrolled in Medicare?

Yes. Kaylin Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaylin Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaylin Peterson reassigns Medicare benefits to Saints Medical Group, LLC (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaylin Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaylin Peterson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Kaylin Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaylin Peterson was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.