Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kenton O Shaw

Individual provider Speech-Language Pathologist · NPI 1912345687

Mr. Kenton O Shaw is a Qualified Speech Language Pathologist in Nashville, Tennessee. Qualified in 2006, 20 years ago. Practices with Vanderbilt University Medical Center, a 3,466-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
20
Licensed in
TN
In the registry since
2013
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Practice location Address checks out

3601 The Vanderbilt Clinic
Nashville, TN 37232-4487
Phone: (615) 936-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 139 Maple Row Blvd, Hendersonville, TN 37075-4487 — (615) 826-7113

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP 0000004254 (TN)

Record details

NPI number1912345687
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 4, 2013
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Vanderbilt University Medical Center — 3466 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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