Individual provider Active NPI

Gaylyn Short

  • Speech-Language Pathologist
  • Fletcher, NC
National Provider Identifier
1962879619
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12270 Issued in NC
Practice address
4020 Hendersonville Rd
Fletcher, NC 28732-8222
Phone
(828) 222-4875
NPI assigned
Aug 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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 12270 NC Primary

Addresses

Primary practice location

4020 Hendersonville Rd
Fletcher, NC 28732-8222

Mailing address

4725 Merle Hay Rd
107
Des Moines, IA 50322-1983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503000962 NC Practitioner - Qualified Speech Language Pathologist 7618332230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lifespan Therapy, PLLCGroup PAC ID 4587053244, 4 clinicians

Practice addresses (Care Compare)

4020 Hendersonville Rd
Suite E
Fletcher, NC 28732-8251
Phone (828) 222-4875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074689IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Therapy PLLC Speech-Language Pathologist CurrentSince Apr 17, 2023 Accepting new patients

Locations

4020 Hendersonville Rd
Ste E
Fletcher, NC 28732
Phone (828) 222-4875

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1962879619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MERLE HAY RD",
            "address_2": "107",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503221983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 HENDERSONVILLE RD",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287328222",
            "telephone_number": "828-222-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "GAYLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fletcher, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.