MR. KENTON O SHAW
NPI 1912345687
Speech-Language Pathologist in Nashville, TN

Q: What is Kenton Shaw's NPI number?

The NPI number for Kenton Shaw is 1912345687. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Q: What is Kenton Shaw'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 Kenton Shaw was last updated on March 23, 2022. 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.

Active since June 04, 2013Accepts Medicare Assignment

3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 936-2000 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Kenton O Shaw NPPES

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

MR. KENTON O SHAW (NPI 1912345687) is an individual speech-language pathologist provider in Nashville, Tennessee, licensed in Tennessee (SP 0000004254) and active in the NPI registry since June 2013. He maintains a secondary practice location in Hendersonville and is a graduate of Other (2006).

NPPES Registry Identity

NPI1912345687

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameMR. KENTON O SHAW

Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-4487

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000

Phone(615) 936-2000

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateJune 4, 2013

Last NPPES UpdateMarch 23, 2022

NPPES CertifiedMarch 23, 2022

✔ NPI 1912345687 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 TN · SP 0000004254

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.

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

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Secondary Practice Location 1

Location 1139 Maple Row Blvd, Suite 202Hendersonville, TN 37075-4487 · Phone (615) 826-7113

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kenton O Shaw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941634489

PECOS Enrollment IDI20191216003082

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.

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