Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932444270 Individual Practitioner Female Practitioner

Kristin Ann Wackerlin

Speech-Language Pathologist • La Salle, IL

Professional Overview & Biography Verified Profile Summary

Kristin Wackerlin is a registered healthcare professional specializing in Speech-Language Pathologist in La Salle, IL. Practice services are available at 1015 OCONOR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1015 Oconor Ave

La Salle, IL 613011216

Telephone 8158300718
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in La Salle, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
9 Specialists

Practicing in La Salle, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146.012393

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

8 Associated Practitioners
Ashwin Yegneswar

Home Health

NPI 1003207051
Katherine Schickedanz , COTA

Occupational Therapist

NPI 1104287226

Certified Occupational Therapy Assistant

Karen Dunne , MS, CCC

Speech-Language Pathologist

NPI 1184926511

Master of Science, Certificate of Clinical Competence

Hannah Tegtmeyer , OTR, L

Occupational Therapist

NPI 1306646385

Occupational Therapist Registered, L

Shannon Jenkins-Solomon

Physical Therapy Assistant

NPI 1609226596
Alan Blomquist , LCSW

Social Worker - Clinical

NPI 1750448627

Licensed Clinical Social Worker

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active March 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2017

Registered at 1015 OCONOR AVE, LA SALLE, IL 613011216 (Tel: 8158300718)

📍
Updated Business Mailing Address March 07, 2017

Registered at 1417 N 2401ST RD, OTTAWA, IL 613509205 (Tel: 8158300178)

👤
Provider Name / Credentials Updated March 07, 2017

Recorded as KRISTIN WACKERLIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2017

Speech-Language Pathologist (License #146.012393 in IL)

NPI Profile Active November 27, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2012

Registered at 6600 PEACHTREE DUNWOODY RD NE, BUILDING 400, SUITE 125, ATLANTA, GA 303286773 (Tel: 6785879922)

📍
Updated Business Mailing Address November 27, 2012

Registered at 941 BURR ST, FORT BENNING, GA 319058769 (Tel: 8158300178)

👤
Provider Name / Credentials Updated November 27, 2012

Recorded as KRISTIN WACKERLIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2012

Speech-Language Pathologist (License #SLP008039 in GA)

🟢
Initial NPI Registration & Enumeration November 27, 2012

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: 1932444270
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2012
Last Update: March 07, 2017
Sole Proprietor: No

Mailing Address

1417 N 2401st Rd

Ottawa, IL 613509205

Phone: 8158300178

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.