Kelly Shaw, MS CCC-SLP
NPI 1790049807 · Speech-Language Pathologist · Kenosha, WI
Kelly Shaw, MS CCC-SLP is a Speech-Language Pathologist provider in Kenosha, WI (NPI 1790049807).
Provider details
- NPI number
- 1790049807
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 3456-154 (WI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-07-03
- Last updated
- 2012-07-03
Frequently asked questions
- What is Kelly Shaw's NPI number?
- Kelly Shaw's National Provider Identifier (NPI) is 1790049807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Shaw's specialty?
- Kelly Shaw is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Kelly Shaw located?
- Kelly Shaw's practice location on file with NPPES is 5219 88th Ave, Kenosha, WI 53144-7468.
- What is Kelly Shaw's phone number?
- The practice phone number listed in the NPPES registry for Kelly Shaw is (262) 653-0850.
- Is Kelly Shaw's NPI active?
- Yes — Kelly Shaw's NPI (1790049807) is active in the NPPES registry as of the last update on 2012-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.