Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710120308 Individual Practitioner Female Practitioner

Jessica Sullivan , CCC-SLP

Speech-Language Pathologist • Decatur, IL

Professional Overview & Biography Verified Profile Summary

Jessica Sullivan, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Decatur, IL. Practice services are available at 2300 N EDWARD ST under active NPI credentials.

Frequently performed procedures and clinical services include evaluation of swallowing function image, treatment of swallowing and feeding disorder, treatment of speech, language, voice, communication, and/or hearing processing disorder. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2300 N Edward St

Decatur, IL 625264192

Telephone 2178762680
Fax 2178762630
Associated Practice Facility / Clinic
🏢 Decatur Memorial Hospital Facility NPI 1609879097

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Decatur, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
54 Specialists

Practicing in Decatur, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
32.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92611 Evaluation of swallowing function image
20 19 $127.95 $85.80

Medical Specialties & State Licenses

CMS Verified: 2022-05-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146.015000

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License KS 2949

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License MO 2008023621

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

40 Associated Practitioners
Cullen Whicker , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003371923

Certified Registered Nurse Anesthetist

Jason Grauer , APRN

Nurse Practitioner - Family

NPI 1003463225

Advanced Practice Registered Nurse

Dr. Jeffrey Boorstein , MD

Radiology - Diagnostic Radiology

NPI 1003862806

Doctor of Medicine (M.D.)

Paul Gurley , PA-C

Physician Assistant

NPI 1003911918

Physician Assistant (Certified)

Christine Cutler , MS RD LD, N

Dietitian, Registered

NPI 1013090521

MSRDLD, N

Jaclyn Kleman

Physical Therapist

NPI 1013300029

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 09, 2022

Registered at 2300 N EDWARD ST, DECATUR, IL 625264192 (Tel: 2178762680)

📍
Updated Business Mailing Address May 09, 2022

Registered at 2300 N EDWARD ST, DECATUR, IL 625264192 (Tel: 2178762680)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2022

Speech-Language Pathologist (License #2949 in KS)

NPI Profile Active October 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 19, 2015

Registered at 3901 RAINBOW BLVD, DEPARTMENT OF OTOLARYNGOLOGY KUMED, KANSAS CITY, KS 661600001 (Tel: 9135887080)

📍
Updated Business Mailing Address October 19, 2015

Registered at 3901 RAINBOW BLVD, MS 3010, KANSAS CITY, KS 661032937 (Tel: 9135887080)

👤
Provider Name / Credentials Updated October 19, 2015

Recorded as JESSICA SULLIVAN, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2015

Speech-Language Pathologist (License #2949 in KS)

🟢
Initial NPI Registration & Enumeration April 12, 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: 1710120308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2009
Last Update: May 09, 2022
Sole Proprietor: Yes

Mailing Address

2300 N Edward St

Decatur, IL 625264192

Phone: 2178762680

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.