Kerri Shaw, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#2154 Issued in AR

Practice address

500 Tiger Blvd
Bentonville, AR 72712-4208

Phone

(479) 254-5000

Fax

(479) 271-1123

NPI assigned

Jan 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bentonville Public Schools

  • Local Education Agency (LEA)
  • Bentonville, AR
  • NPI 1902941255
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1609053909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TIGER BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124208",
            "telephone_number": "479-254-5000",
            "fax_number": "479-271-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TIGER BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124208",
            "telephone_number": "479-254-5000",
            "fax_number": "479-271-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KERRI",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2154",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609053909",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lynn Shanahan, NP-C
• Shanna M. Molina MD PLLC
• Shannon Candid Arkansas, P.a.
• John Lark Shasteen, LCSW
• Ayesha Shaukat, RPH
• Lisa Shaw
• Elizabeth Anne Shelby, M.S., CCC-SLP
• Janiah Shell
• Shelly Reaves Counseling Services
• Malia Shelton, DPT

• Speech-Language Pathologist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.