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Deactivated NPI 1780907766 Deactivated / Inactive NPI Female Practitioner

Trista Angel , MS CCC-SLP

Speech-Language Pathologist • Mount Vernon, IN

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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, Trista Angel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 05, 2010
NPI Deactivation Date October 03, 2017
Total Practice Duration ~7 Years of Practice (2010 – 2017)

Professional Overview & Biography Verified Profile Summary

Trista Angel, MS CCC-SLP was a registered Speech-Language Pathologist practicing in Mount Vernon, IN. Throughout an active medical career spanning 7 years, Trista Angel provided care at the practice location at 1415 COUNTRY CLUB RD until profile deactivation on 2017-10-03.

Practice Location & Contact Primary Location

Practice Address

1415 Country Club Rd

Mount Vernon, IN 476209301

Telephone 8128386554
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mount Vernon, IN

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

Practicing in Mount Vernon, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IN 220038886A

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

11 Associated Practitioners
Janelle Burton , MS

Speech-Language Pathologist

NPI 1023447505

Master of Science

Sharon Bush

Occupational Therapy Assistant

NPI 1063610657
Dr. Lois Matthews , DPT

Physical Therapist

NPI 1295007045

Doctor of Physical Therapy

Virginia Stallman , COTA

Occupational Therapy Assistant

NPI 1407053341

Certified Occupational Therapy Assistant

Randy Meana , PT

Physical Therapist

NPI 1538366562

Physical Therapist

Angela Davidson

Physical Therapy Assistant

NPI 1710200688

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 October 03, 2017

Record deactivated on October 03, 2017

NPI Profile Active March 05, 2010

NPI status registered as active in NPPES database

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Updated Practice Location March 05, 2010

Registered at 1415 COUNTRY CLUB RD, MOUNT VERNON, IN 476209301 (Tel: 8128386554)

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Updated Business Mailing Address March 05, 2010

Registered at 8180 BALD KNOB RD, MOUNT VERNON, IN 476207045

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Provider Name / Credentials Updated March 05, 2010

Recorded as TRISTA ANGEL, M.S. CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2010

Speech-Language Pathologist (License #220038886A in IN)

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Initial NPI Registration & Enumeration March 05, 2010

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: 1780907766
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2010
Last Update: March 05, 2010
Deactivation Date: October 03, 2017

Mailing Address

8180 Bald Knob Rd

Mount Vernon, IN 476207045

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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