Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124473509 Individual Practitioner Female Practitioner

Rebecca Kickham

Speech-Language Pathologist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Rebecca Kickham is a registered healthcare professional specializing in Speech-Language Pathologist in Jacksonville, FL. Practice services are available at 910 N JEFFERSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

910 N Jefferson St

Jacksonville, FL 322096810

Telephone 9043607022
Fax 9047984544
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
565 Specialists

Practicing in Jacksonville, FL (11640 Statewide)

Telehealth Adoption Rate
1.6% 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 FL SA12021

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.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Mary Gilbert

Social Worker

NPI 1023175387
Courtney Tingwall

Social Worker

NPI 1023220399
Lorie Nance

Social Worker

NPI 1043360027
Carli Rosenberg

Case Manager/Care Coordinator

NPI 1043459415
Lisa Schmidt

Social Worker

NPI 1053525477
Lakisha Crocker

Social Worker

NPI 1053653352

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated January 15, 2019

Recorded as REBECCA KICKHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2019

Developmental Therapist

NPI Profile Active May 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2016

Registered at 910 N JEFFERSON ST, JACKSONVILLE, FL 322096810 (Tel: 9043607022)

📍
Updated Business Mailing Address May 04, 2016

Registered at 910 N JEFFERSON ST, JACKSONVILLE, FL 322096810 (Tel: 9043607022)

👤
Provider Name / Credentials Updated May 04, 2016

Recorded as REBECCA WHITE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2016

Speech-Language Pathologist (License #SA12021 in FL)

🟢
Initial NPI Registration & Enumeration May 04, 2016

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: 1124473509
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2016
Last Update: January 15, 2019
Sole Proprietor: Yes

Mailing Address

910 N Jefferson St

Jacksonville, FL 322096810

Phone: 9043607022

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.