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Deactivated NPI 1881110302 Deactivated / Inactive NPI Female Practitioner

Melissa Stucky , MA, CCC-SLP

Speech-Language Pathologist • South Beloit, 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, Melissa Stucky has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2017
NPI Deactivation Date May 15, 2024
Total Practice Duration ~7 Years of Practice (2017 – 2024)

Professional Overview & Biography Verified Profile Summary

Melissa Stucky, MA, CCC-SLP was a registered Speech-Language Pathologist practicing in South Beloit, IL. Throughout an active medical career spanning 7 years, Melissa Stucky provided care at the practice location at 464 OAK GROVE AVE until profile deactivation on 2024-05-15.

Practice Location & Contact Primary Location

Practice Address

464 Oak Grove Ave

South Beloit, IL 610801967

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in South Beloit, IL

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

Practicing in South Beloit, 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 146010141

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

7 Historical Events
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NPI Profile Deactivated May 15, 2024

Record deactivated on May 15, 2024

NPI Profile Active August 16, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 16, 2017

Registered at 464 OAK GROVE AVE, SOUTH BELOIT, IL 610801967 (Tel: (815) 389-2311)

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Updated Business Mailing Address August 16, 2017

Registered at 464 OAK GROVE AVE, SOUTH BELOIT, IL 610801967 (Tel: 8153892311)

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Provider Name / Credentials Updated August 16, 2017

Recorded as MELISSA STUCKY, M.A., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2017

Speech-Language Pathologist (License #146010141 in IL)

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Initial NPI Registration & Enumeration August 16, 2017

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: 1881110302
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2017
Last Update: August 16, 2017
Deactivation Date: May 15, 2024

Mailing Address

464 Oak Grove Ave

South Beloit, IL 610801967

Phone: 8153892311

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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