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Deactivated NPI 1952895054 Deactivated / Inactive NPI Female Practitioner

Ida Marie Reid , CCC-SLP, L

Speech-Language Pathologist • Saint John, 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, Ida Reid has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 21, 2018
NPI Deactivation Date September 13, 2023
Total Practice Duration ~5 Years of Practice (2018 – 2023)

Professional Overview & Biography Verified Profile Summary

Ida Reid, CCC-SLP, L was a registered Speech-Language Pathologist practicing in Saint John, IN. Throughout an active medical career spanning 5 years, Ida Reid provided care at the practice location at 8761 HILLSIDE DR until profile deactivation on 2023-09-13.

Practice Location & Contact Primary Location

Practice Address

8761 Hillside Dr

Saint John, IN 463738737

Telephone 7089899990

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Saint John, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Saint John, 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 IL 146.006817

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 September 13, 2023

Record deactivated on September 13, 2023

NPI Profile Active June 21, 2018

NPI status registered as active in NPPES database

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Updated Practice Location June 21, 2018

Registered at 8761 HILLSIDE DR, SAINT JOHN, IN 463738737 (Tel: 7089899990)

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Updated Business Mailing Address June 21, 2018

Registered at 8761 HILLSIDE DR, SAINT JOHN, IN 463738737 (Tel: 7089899990)

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Provider Name / Credentials Updated June 21, 2018

Recorded as IDA REID, CCC-SLP/L

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2018

Speech-Language Pathologist (License #146.006817 in IL)

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Initial NPI Registration & Enumeration June 21, 2018

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: 1952895054
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2018
Last Update: June 21, 2018
Deactivation Date: September 13, 2023

Mailing Address

8761 Hillside Dr

Saint John, IN 463738737

Phone: 7089899990

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.