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Deactivated NPI 1407146905 Deactivated / Inactive NPI Female Practitioner

Kerry Lee Fewell , MS CCC-SLP

Speech-Language Pathologist • Saint Joseph, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kerry Fewell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 18, 2011
NPI Deactivation Date January 23, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Kerry Fewell, MS CCC-SLP was a registered Speech-Language Pathologist practicing in Saint Joseph, IL. Throughout an active medical career spanning 14 years, Kerry Fewell provided care at the practice location at 412 LINDEN DR until profile deactivation on 2025-01-23.

Practice Location & Contact Primary Location

Practice Address

412 Linden Dr

Saint Joseph, IL 618739431

Telephone 2175536991

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Saint Joseph, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Saint Joseph, 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 146.005261

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

1 Associated Practitioners
Shaleace Price , MSCCC-SLP

Speech-Language Pathologist

NPI 1528829124

MSCCCSLP

Career & Practice History Timeline

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

10 Historical Events
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NPI Profile Deactivated January 23, 2025

Record deactivated on January 23, 2025

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Updated Practice Location December 05, 2023

Registered at 2845 E 1140 S, SAINT GEORGE, UT 847901648 (Tel: 2175536991)

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Updated Business Mailing Address December 05, 2023

Registered at 1793 DESERT DAWN DR, SANTA CLARA, UT 847655130 (Tel: 2175536991)

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2023

Speech-Language Pathologist (License #8346505-4102 in UT)

NPI Profile Active April 18, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 18, 2011

Registered at 412 LINDEN DR, SAINT JOSEPH, IL 618739431 (Tel: 2175536991)

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Updated Business Mailing Address April 18, 2011

Registered at 412 LINDEN DR, SAINT JOSEPH, IL 618739431 (Tel: 2175536991)

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Provider Name / Credentials Updated April 18, 2011

Recorded as KERRY FEWELL, M.S. CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2011

Speech-Language Pathologist (License #146.005261 in IL)

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Initial NPI Registration & Enumeration April 18, 2011

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: 1407146905
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2011
Last Update: April 18, 2011
Deactivation Date: January 23, 2025

Mailing Address

412 Linden Dr

Saint Joseph, IL 618739431

Phone: 2175536991

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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