Kathryn Shealy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

3312 Issued in NC

Practice address

5420 Barber Mill Rd
Clayton, NC 27520-7260

Phone

(919) 484-3144

NPI assigned

Sep 16, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1477424083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAIDENHAIR PL",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205749",
            "telephone_number": "919-633-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 BARBER MILL RD",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275207260",
            "telephone_number": "919-484-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEALY",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "3312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reeda Gul Shakir, D.O
• Keelin Hunter Shakofsky, BCBA
• Cynthia J Shannon, MS, LMFT
• Jasmine Shaw
• Lauren Shaw
• Joan S Shepherd
• Tanisha A Shepherd
• Jillian Sherrin, CCC-SLP
• Shivani Sheth, PA-C
• Rahul A Shimpi, MD

• Behavior Analyst in Clayton, NC
• Providers in Clayton, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.