Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104884378 Individual Practitioner Female Practitioner

Kelly Ann Fairris , MA CCC SLP

Speech-Language Pathologist • Dyer, IN

Professional Overview & Biography Verified Profile Summary

Kelly Fairris, MA CCC SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Dyer, IN. Practice services are available at 440 EDMOND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

440 Edmond Dr

Dyer, IN 463111523

Telephone 2193221415
Associated Practice Facility / Clinic
🏢 Wee Care Therapy Ltd Facility NPI 1780630525

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Dyer, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Dyer, IN (3038 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: 2021-09-30
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IN 22004186A

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200683490 (IN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Christine Becher

Behavior Analyst

NPI 1013624733
Cathy Jerome , MS ED

Day Training/Habilitation Specialist

NPI 1013954924

Master of Science in Education

Staci Reyna , DT

Developmental Therapist

NPI 1023593134
Cathy Puch , MA CCC SLP

Speech-Language Pathologist

NPI 1053379396

MACCCSLP

Raelene Harvey , OT

Occupational Therapist

NPI 1073018354

Occupational Therapist

Alexis Mcmahon , SPEECH PATHOLOGIST

Speech-Language Pathologist

NPI 1104331321

SPEECHPATHOLOGIST

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 30, 2021

Registered at 440 EDMOND DR, DYER, IN 463111523 (Tel: 2193221415)

📍
Updated Business Mailing Address September 30, 2021

Registered at 440 EDMOND DR, DYER, IN 463111523 (Tel: 2193221415)

NPI Profile Active October 26, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2009

Registered at 1473 LAKEWOOD LN, SCHERERVILLE, IN 463751093 (Tel: 2198058854)

📍
Updated Business Mailing Address October 26, 2009

Registered at PO BOX 505, SCHERERVILLE, IN 463750505 (Tel: 2198058854)

👤
Provider Name / Credentials Updated October 26, 2009

Recorded as KELLY FAIRRIS, MA CCC SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2009

Speech-Language Pathologist (License #22004186A in IN)

🟢
Initial NPI Registration & Enumeration May 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104884378
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2006
Last Update: September 30, 2021
Sole Proprietor: No

Mailing Address

440 Edmond Dr

Dyer, IN 463111523

Phone: 2193221415

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.