Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568904050 Individual Practitioner Female Practitioner

Nicole Edwin , MS CCC-SLP, CLC

Speech-Language Pathologist • New Athens, IL

Professional Overview & Biography Verified Profile Summary

Nicole Edwin, MS CCC-SLP, CLC is a registered healthcare professional specializing in Speech-Language Pathologist in New Athens, IL. Practice services are available at 5001 GILS LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5001 Gils Ln

New Athens, IL 622642322

Telephone 9203422558

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in New Athens, IL

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

Practicing in New Athens, 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: 2021-03-16
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MO 2015039250

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

8 Historical Events
📍
Updated Practice Location March 16, 2021

Registered at 5001 GILS LN, NEW ATHENS, IL 622642322 (Tel: 9203422558)

📍
Updated Business Mailing Address March 16, 2021

Registered at 5001 GILS LN, NEW ATHENS, IL 622642322 (Tel: 9203422558)

NPI Profile Active November 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2016

Registered at 115 PROGRESS PKWY, SULLIVAN, MO 630802359 (Tel: 5734683373)

📍
Updated Business Mailing Address November 15, 2016

Registered at 115 PROGRESS PKWY, SULLIVAN, MO 630802359 (Tel: 5734683373)

👤
Provider Name / Credentials Updated November 15, 2016

Recorded as NICOLE EDWIN, MS CCC-SLP, CLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2016

Speech-Language Pathologist (License #2015039250 in MO)

🟢
Initial NPI Registration & Enumeration November 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568904050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2016
Last Update: March 16, 2021
Sole Proprietor: Yes

Mailing Address

5001 Gils Ln

New Athens, IL 622642322

Phone: 9203422558

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.