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Deactivated NPI 1427620194 Deactivated / Inactive NPI Female Practitioner

Kelly Wenger , MS, CCC-SLP

Speech-Language Pathologist • Modesto, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kelly Wenger has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2021
NPI Deactivation Date October 18, 2021
Total Practice Duration ~1 Years of Practice (2021 – 2021)

Professional Overview & Biography Verified Profile Summary

Kelly Wenger, MS, CCC-SLP was a registered Speech-Language Pathologist practicing in Modesto, CA. Throughout an active medical career spanning 1 years, Kelly Wenger provided care at the practice location at 4731 BECKWITH RD until profile deactivation on 2021-10-18.

Practice Location & Contact Primary Location

Practice Address

4731 Beckwith Rd

Modesto, CA 953588912

Telephone 2092040341
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
56 Specialists

Practicing in Modesto, CA (13280 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

CMS Verified: 2023-02-15
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 23588

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Julia Cabrera , MSCCC-SLP

Speech-Language Pathologist

NPI 1699597765

MSCCCSLP

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location February 15, 2023

Registered at 4731 BECKWITH RD, MODESTO, CA 953588912 (Tel: 2092040341)

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Updated Business Mailing Address February 15, 2023

Registered at 4731 BECKWITH RD, MODESTO, CA 953588912 (Tel: 2092040341)

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Provider Name / Credentials Updated February 15, 2023

Recorded as KELLY WENGER, M.S., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2023

Speech-Language Pathologist (License #23588 in CA)

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NPI Profile Deactivated October 18, 2021

Record deactivated on October 18, 2021

NPI Profile Active July 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2021

Registered at 4731 BECKWITH RD, MODESTO, CA 953588912 (Tel: 2092040341)

📍
Updated Business Mailing Address July 13, 2021

Registered at 4731 BECKWITH RD, MODESTO, CA 953588912 (Tel: 2092040341)

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Provider Name / Credentials Updated July 13, 2021

Recorded as KELLY WENGER, M.S., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2021

Speech-Language Pathologist (License #23588 in CA)

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Initial NPI Registration & Enumeration July 13, 2021

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: 1427620194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2021
Last Update: February 15, 2023
Deactivation Date: October 18, 2021
Sole Proprietor: Yes

Mailing Address

4731 Beckwith Rd

Modesto, CA 953588912

Phone: 2092040341

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.