Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356751036 Individual Practitioner Female Practitioner

Jessica Marie Rodriguez , MS CCC-SLP

Speech-Language Pathologist • O Fallon, IL

Professional Overview & Biography Verified Profile Summary

Jessica Rodriguez, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in O Fallon, IL. Practice services are available at 707 N SMILEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

707 N Smiley St

O Fallon, IL 622691353

Telephone 6186326391
Associated Practice Facility / Clinic
🏢 Ofallon Ccsd 90 Facility NPI 1922133412

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in O Fallon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
67 Specialists

Practicing in O Fallon, 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: 2021-09-07
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NM C-5493

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.

Secondary Practice Locations

6400 Uptown Blvd Ne, Ste 360w

Albuquerque, NM 871104204

Phone: 5058559805

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Rebecca Albaugh , CCC-SLP

Speech-Language Pathologist

NPI 1235656646

Speech-Language Pathologist (Certificate of Clinical Competence)

Alex Jenkins

Speech-Language Pathologist

NPI 1841717238
Samantha Wiegand , EDS, MS

Psychologist - School

NPI 1841919701

EDS, Master of Science

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location September 07, 2021

Registered at 707 N SMILEY ST, O FALLON, IL 622691353 (Tel: 6186326391)

📍
Updated Business Mailing Address September 07, 2021

Registered at 4346 HERCULES RD, SCOTT AFB, IL 622256316 (Tel: 6096706815)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2021

Speech-Language Pathologist (License #C-5493 in NM)

NPI Profile Active September 22, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address September 22, 2017

Registered at 1009 ARROYO LUPINE CIR SE, ALBUQUERQUE, NM 87116 (Tel: 6096706815)

📍
Updated Practice Location September 22, 2017

Registered at 6400 UPTOWN BLVD NE, STE 360W, ALBUQUERQUE, NM 871104204 (Tel: 5058559805)

👤
Provider Name / Credentials Updated September 22, 2017

Recorded as JESSICA RODRIGUEZ, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2017

Speech-Language Pathologist (License #5683 in NM)

NPI Profile Active May 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2014

Registered at 6400 UPTOWN BLVD NE, STE 360W, ALBUQUERQUE, NM 871104204 (Tel: 5058559805)

📍
Updated Business Mailing Address May 02, 2014

Registered at 6400 UPTOWN BLVD NE, STE 360W, ALBUQUERQUE, NM 871104204 (Tel: 5058559805)

👤
Provider Name / Credentials Updated May 02, 2014

Recorded as JESSICA RODRIGUEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2014

Speech-Language Pathologist (License #C-5493 in NM)

🟢
Initial NPI Registration & Enumeration May 02, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1356751036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2014
Last Update: September 11, 2025
Sole Proprietor: Yes

Mailing Address

4346 Hercules Rd

Scott Afb, IL 622256316

Phone: 6096706815

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.