Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1386874402 Deactivated / Inactive NPI Female Practitioner

Stephanie Lynn Peck , MS, CCC-SLP

Speech-Language Pathologist • Trinidad, CO

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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, Stephanie Peck has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 23, 2009
NPI Deactivation Date October 23, 2024
Total Practice Duration ~15 Years of Practice (2009 – 2024)

Professional Overview & Biography Verified Profile Summary

Stephanie Peck, MS, CCC-SLP was a registered Speech-Language Pathologist practicing in Trinidad, CO. Throughout an active medical career spanning 15 years, Stephanie Peck provided care at the practice location at 417 N COMMERCIAL ST until profile deactivation on 2024-10-23.

Practice Location & Contact Primary Location

Practice Address

417 N Commercial St

Trinidad, CO 810821907

Telephone 7198464178
Fax 7198464179
Associated Practice Facility / Clinic
🏢 Online Therapy Services Inc. Facility NPI 1336273143

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Trinidad, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Trinidad, CO (4289 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

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

2 Associated Practitioners
Rexella Day , OTR

Occupational Therapist

NPI 1184806457

Occupational Therapist Registered

NPI 1457544124

Certified Occupational Therapy Assistant

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 23, 2024

Record deactivated on October 23, 2024

NPI Profile Active July 23, 2009

NPI status registered as active in NPPES database

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Updated Practice Location July 23, 2009

Registered at 417 N COMMERCIAL ST, TRINIDAD, CO 810821907 (Tel: 7198464178)

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Updated Business Mailing Address July 23, 2009

Registered at 417 N COMMERCIAL ST, TRINIDAD, CO 810821907 (Tel: 7198464178)

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Provider Name / Credentials Updated July 23, 2009

Recorded as STEPHANIE PECK, M.S.,CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2009

Speech-Language Pathologist

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Initial NPI Registration & Enumeration July 23, 2009

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: 1386874402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2009
Last Update: July 23, 2009
Deactivation Date: October 23, 2024

Mailing Address

417 N Commercial St

Trinidad, CO 810821907

Phone: 7198464178

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.