KALI LYNN SHINE M.S., CCC-SLP
NPI 1376038596
Speech-Language Pathologist in Beaver Dam, WI

Q: What is Kali Shine's NPI number?

The NPI number for Kali Shine is 1376038596. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Q: What is Kali Shine's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kali Shine was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 29, 2018

1223 MADISON ST, BEAVER DAM, WI 53916(920) 885-4750 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2020, Jun 29, 2018 (2 updates tracked since 2018).

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About Kali Lynn Shine M.s., Ccc-slp NPPES

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

KALI LYNN SHINE M.S., CCC-SLP (NPI 1376038596) is an individual speech-language pathologist provider in Beaver Dam, Wisconsin and active in the NPI registry since June 2018. She maintains a secondary practice location in Brookfield.

NPPES Registry Identity

NPI1376038596

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKALI LYNN SHINECredential: M.S., CCC-SLP

Location Address1223 MADISON STBeaver Dam, WI 53916-2629

Mailing Address19395 W Capitol Dr Ste 2000Brookfield, WI 53045-2736 · (262) 923-7101

Phone(920) 885-4750

Sole ProprietorNo

Enumeration DateJune 29, 2018

Last NPPES UpdateNovember 30, 20202 updates tracked since enumeration

NPPES CertifiedNovember 30, 2020

✔ NPI 1376038596 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

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.

1223 MADISON ST, Beaver Dam, WI 53916

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Secondary Practice Location 1

Location 119395 W Capitol Dr Ste 2000Brookfield, WI 53045-2736 · Phone (262) 923-7101

Other Providers at the Same Location NPPES 17

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

DR. KELLIE MARIE WAGNER PT, DPT, CSCS

Physical Therapist