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Gold Star Pediatric Speech Therapy

NPI 1316650674ActiveOrganization· Speech-Language Pathologist· Clayton, NC

Speech-Language Pathologist in Clayton, North Carolina, registered in NPPES in January 2023. The authorized official on file is Kanessia Shepard, CCC-SLP, Speech Pathologist.

Overview

NPI1316650674
StatusActive
Entity typeOrganization
NPI issuedJan 3, 2023
Last updated in NPPESJan 3, 2023
Certified by providerJan 3, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Speech-Language Pathologist providers in Clayton

All Speech-Language Pathologist providers in North Carolina →