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LUKE SHEPHERD M.A., CCC-SLP
NPI 1689352585
Speech-Language Pathologist in Walker, MI

Active since July 10, 2023
1924 KINNEY AVE NW, WALKER, MI 49534(248) 767-9913 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Luke Shepherd M.a., Ccc-slp NPPES

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

LUKE SHEPHERD M.A., CCC-SLP (NPI 1689352585) is an individual speech-language pathologist provider in Walker, Michigan, licensed in Michigan (7101007621) and active in the NPI registry since July 2023. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1689352585
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameLUKE SHEPHERDCredential: M.A., CCC-SLP
Location Address1924 KINNEY AVE NWWalker, MI 49534-2116
Mailing Address1924 Kinney Ave NwWalker, MI 49534-2116 · (248) 767-9913
Phone(248) 767-9913
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 10, 2023
NPPES CertifiedJuly 10, 2023
✔ NPI 1689352585 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 MI · 7101007621
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.
1924 KINNEY AVE NW, Walker, MI 49534
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luke Shepherd M.a., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193203198
PECOS Enrollment IDI20260131000135

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 Luke Shepherd's NPI number?

The NPI number for Luke Shepherd is 1689352585. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Luke Shepherd located?

Luke Shepherd practices at 1924 Kinney Ave NW, Walker, MI 49534. The listed phone number is (248) 767-9913.

What is Luke Shepherd's specialty?

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

Is Luke Shepherd enrolled in Medicare?

Yes. Luke Shepherd is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luke Shepherd was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.