Individual provider Active NPI

Erin Tyler Shepherd, SLP

  • Speech-Language Pathologist
  • Cullowhee, NC
National Provider Identifier
1619325586
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1703063 Issued in NC
Practice address
Western Carolina University
4121 Little Savannah Rd Ste 132
Cullowhee, NC 28723-9688
Phone
(828) 227-7251
NPI assigned
Jun 1, 2016
Last updated
Sep 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1703063 NC Primary

Addresses

Primary practice location

Western Carolina University
4121 Little Savannah Rd Ste 132
Cullowhee, NC 28723-9688

Mailing address

4121 Little Savannah Rd Ste 132
Cullowhee, NC 28723-9688
Phone (828) 227-7251

Other names 1

  • Erin Keenen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12319NCMDPhysical Therapist
1703063NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1619325586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 LITTLE SAVANNAH RD STE 132",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "287239688",
            "telephone_number": "828-227-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WESTERN CAROLINA UNIVERSITY",
            "address_2": "4121 LITTLE SAVANNAH RD STE 132",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "287239688",
            "telephone_number": "828-227-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "ERIN",
        "middle_name": "TYLER",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1703063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "KEENEN",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cullowhee, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.