Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730743899 Individual Practitioner Female Practitioner

Makenzie Pettit

Speech-Language Pathologist • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Makenzie Pettit is a registered healthcare professional specializing in Speech-Language Pathologist in Bloomington, IL. Practice services are available at 304 GOLDENROD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

304 Goldenrod Rd

Bloomington, IL 617047276

Telephone 3095735394
Fax 3093247003

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
62 Specialists

Practicing in Bloomington, IL (10321 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: 2023-08-14
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.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 14, 2023

Registered at 304 GOLDENROD RD, BLOOMINGTON, IL 617047276 (Tel: 3095735394)

📍
Updated Business Mailing Address August 14, 2023

Registered at 304 GOLDENROD RD, BLOOMINGTON, IL 617047276 (Tel: 3095735394)

👤
Provider Name / Credentials Updated August 27, 2019

Recorded as MAKENZIE PETTIT

NPI Profile Active April 24, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2019

Registered at 411 E WASHINGTON ST, EAST PEORIA, IL 616112663 (Tel: 3092826704)

📍
Updated Business Mailing Address April 24, 2019

Registered at 411 E WASHINGTON ST, EAST PEORIA, IL 616112663

👤
Provider Name / Credentials Updated April 24, 2019

Recorded as MAKENZIE BOGNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2019

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration April 24, 2019

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: 1730743899
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2019
Last Update: August 14, 2023
Sole Proprietor: No

Mailing Address

304 Goldenrod Rd

Bloomington, IL 617047276

Phone: 3095735394

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.