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Active NPI 1467503896 Individual Practitioner Female Practitioner

Khanedra Edwards Roberts , MS, CCC-SLP

Speech-Language Pathologist • Valparaiso, IN

Professional Overview & Biography Verified Profile Summary

Khanedra Roberts, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Valparaiso, IN. Practice services are available at 2812 CUMBERLAND DR APT 1G under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2812 Cumberland Dr Apt 1g

Valparaiso, IN 463832532

Telephone 2193319514
Associated Practice Facility / Clinic
🏢 Khanedra Z Edwards Facility NPI 1457492431

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Valparaiso, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
37 Specialists

Practicing in Valparaiso, 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: 2020-03-31
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IN 22003661A

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
200340020A (IN)
Commercial Insurance / Payer ID Speech Pathologist
200726320 (IN)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 31, 2020

Registered at 2812 CUMBERLAND DR APT 1G, VALPARAISO, IN 463832532 (Tel: 2193319514)

👤
Provider Name / Credentials Updated March 31, 2020

Recorded as KHANEDRA ROBERTS, MS,CCC-SLP

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 760 N RANDOLPH ST, GARY, IN 464032257 (Tel: 2193319514)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 812, PORTAGE, IN 463680812 (Tel: 2193319514)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as KHANEDRA BRYANT, MS,CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #22003661A in IN)

🟢
Initial NPI Registration & Enumeration January 14, 2007

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: 1467503896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2007
Last Update: March 31, 2020
Sole Proprietor: No

Mailing Address

Po Box 812

Portage, IN 463680812

Phone: 2193319514

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.