Active NPI 1861725277 Individual Practitioner Female Practitioner

Vicky Lynne Jordan , MA CCC-SLP

Speech-Language Pathologist • East Peoria, IL

Professional Overview & Biography Verified Profile Summary

Vicky Jordan, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in East Peoria, IL. Practice services are available at 110 CARVER LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

110 Carver Ln

East Peoria, IL 616113052

Telephone 3092826704

Associated Practice Facility / Clinic

🏢 Midwest Children's Therapy, Pllc Facility NPI 1881466738

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in East Peoria, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 13.2 Yrs

Regional Practice Density

35 Specialists

Practicing in East Peoria, 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: 2025-05-06

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146012408

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

Anna Streenz , PT

Physical Therapist

NPI 1033971940

Physical Therapist

Lindsey Thornton

Developmental Therapist

NPI 1083106660

Melissa Clayton

Speech-Language Pathologist

NPI 1083211247

Bailey Hatfill

Speech-Language Pathologist

NPI 1114456183

Megan Nauman , MA, CCC-SLP, L

Speech-Language Pathologist

NPI 1124439690

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

Nia Beverly

Developmental Therapist

NPI 1124766654

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location May 06, 2025

Registered at 110 CARVER LN, EAST PEORIA, IL 616113052 (Tel: 3092826704)

📍

Updated Business Mailing Address May 06, 2025

Registered at 110 CARVER LN, EAST PEORIA, IL 616113052 (Tel: 3092826704)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2025

Speech-Language Pathologist (License #146012408 in IL)

✅

NPI Profile Active September 16, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location September 16, 2009

Registered at 2010 N 88TH ST, OMAHA, NE 681346102 (Tel: 4024961000)

📍

Updated Business Mailing Address September 16, 2009

Registered at 13336 INDUSTRIAL RD, SUITE 101, OMAHA, NE 681371124 (Tel: 4028954000)

👤

Provider Name / Credentials Updated September 16, 2009

Recorded as VICKY JORDAN, MA CCC-SLP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2009

Speech-Language Pathologist (License #1350 in NE)

🟢

Initial NPI Registration & Enumeration September 16, 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: 1861725277

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 16, 2009

Last Update: May 06, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

110 Carver Ln

East Peoria, IL 616113052

Phone: 3092826704

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.