Luke Shepherd, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101007621 Issued in MI

Practice address

1924 Kinney Ave NW
Walker, MI 49534-2116

Phone

(248) 767-9913

NPI assigned

Jul 10, 2023

Sex

Male

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

Enrolled in MI

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Encourage Institute for Teaching and Learning, LLC

  • Professional Counselor
  • Grand Rapids, MI
  • NPI 1669850343
  Medicare reassignment NPD
• Best Side Speech LLC

  • Hearing and Speech Clinic/Center
  • Belmont, MI
  • NPI 1528746435
  NPD Authorized official

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1689352585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 KINNEY AVE NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495342116",
            "telephone_number": "248-767-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 KINNEY AVE NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495342116",
            "telephone_number": "248-767-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "LUKE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101007621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick David Saier, MD
• Beverly Joan Sankey, MD
• Katelyn Schutte, FNP - C
• Jazmin Serrano Miranda
• Ashleigh Severance, LPN
• Kirsten M Shively, PA
• SHS of West Michigan, LLC (Seniors Helping Seniors)
• Soleil Anar Singh, DDS
• Aybianeth Carolina Smart
• Arwa Sons, LCPC

• Speech-Language Pathologist in Walker, MI
• Providers in Walker, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.