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Deactivated NPI 1134411770 Deactivated / Inactive NPI Female Practitioner

Jody S. O'donnell

Speech-Language Pathologist • Pocatello, ID

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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, Jody O'donnell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 13, 2011
NPI Deactivation Date August 10, 2018
Total Practice Duration ~7 Years of Practice (2011 – 2018)

Professional Overview & Biography Verified Profile Summary

Jody O'Donnell was a registered Speech-Language Pathologist practicing in Pocatello, ID. Throughout an active medical career spanning 7 years, Jody O'Donnell provided care at the practice location at 650 MEMORIAL DR. until profile deactivation on 2018-08-10.

Practice Location & Contact Primary Location

Practice Address

650 Memorial Dr.
Bldg. 68

Pocatello, ID 83201

Telephone 2082823495
Fax 2082824571
Associated Practice Facility / Clinic
🏢 Idaho State University Facility NPI 1578508081

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Pocatello, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.2 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
64 Specialists

Practicing in Pocatello, ID (967 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 ID SLP-1084

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

9 Associated Practitioners
Janene Willer , MA, CCC-SLP

Speech-Language Pathologist

NPI 1447328901

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Deborah Vieira , MS, CCC-A

Audiologist-Hearing Aid Fitter

NPI 1447503024

Master of Science, CCCA

NPI 1457502288

Master of Science, CCCA

NPI 1548548589

Doctor of Audiology

Sarah Knudson , MS, CCC-SLP

Speech-Language Pathologist

NPI 1669549879

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1699869354

Doctor of Philosophy (Ph.D.)

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 August 10, 2018

Record deactivated on August 10, 2018

NPI Profile Active May 13, 2011

NPI status registered as active in NPPES database

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Updated Practice Location May 13, 2011

Registered at 650 MEMORIAL DR., BLDG. 68, POCATELLO, ID 83201 (Tel: 2082823495)

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Updated Business Mailing Address May 13, 2011

Registered at 921 S 8TH AVE, MAIL STOP 8116, POCATELLO, ID 832098116 (Tel: 2082823495)

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Provider Name / Credentials Updated May 13, 2011

Recorded as JODY O'DONNELL

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2011

Speech-Language Pathologist (License #SLP-1084 in ID)

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Initial NPI Registration & Enumeration May 13, 2011

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: 1134411770
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2011
Last Update: May 13, 2011
Deactivation Date: August 10, 2018

Mailing Address

921 S 8th Ave, Mail Stop 8116

Pocatello, ID 832098116

Phone: 2082823495

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

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