Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437452000 Individual Practitioner Female Practitioner

Jacqueline Kay Kenyon , MS CCC-SLP

Speech-Language Pathologist • Sierra Vista, AZ

Professional Overview & Biography Verified Profile Summary

Jacqueline Kenyon, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Sierra Vista, AZ. Practice services are available at 3555 E FRY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3555 E Fry Blvd

Sierra Vista, AZ 856352972

Telephone 5205152790
Associated Practice Facility / Clinic
🏢 Sierra Vista Public Schools Facility NPI 1285773622

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Sierra Vista, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
22 Specialists

Practicing in Sierra Vista, AZ (4584 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ 6951

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
#SLP6951 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Amanda Wood , EDS

Psychologist - School

NPI 1154461820
Amy Murray , OTR

Physical Medicine & Rehabilitation

NPI 1194852277

Occupational Therapist Registered

Maureen Potucek

Psychologist - School

NPI 1194938506
Gretchen Lamberth , OTR

Occupational Therapist

NPI 1326175225

Occupational Therapist Registered

Susan Breen , EDS

Psychologist - School

NPI 1386948560
NPI 1568681021

Doctor of Education (Ed.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 21, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 21, 2010

Registered at 3555 E FRY BLVD, SIERRA VISTA, AZ 856352972 (Tel: 5205152790)

📍
Updated Business Mailing Address December 21, 2010

Registered at 3555 EAST FRY BOULEVARD, SIERRA VISTA, AZ 85635 (Tel: 5205152790)

👤
Provider Name / Credentials Updated December 21, 2010

Recorded as JACQUELINE KENYON, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2010

Speech-Language Pathologist (License #6951 in AZ)

🟢
Initial NPI Registration & Enumeration December 21, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437452000
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2010
Last Update: December 21, 2010
Sole Proprietor: Yes

Mailing Address

3555 East Fry Boulevard

Sierra Vista, AZ 85635

Phone: 5205152790

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.