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Active NPI 1477177863 Individual Practitioner Male Practitioner

Tanner Jordan Staab

Speech-Language Pathologist • Wichita, KS

Professional Overview & Biography Verified Profile Summary

Tanner Staab is a registered healthcare professional specializing in Speech-Language Pathologist in Wichita, KS. Practice services are available at 3636 N RIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3636 N Ridge Rd

Wichita, KS 672051213

Telephone 3164623636
Associated Practice Facility / Clinic
🏢 Cornerstone Assisted Living Facility NPI 1427103977

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Wichita, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
280 Specialists

Practicing in Wichita, KS (1513 Statewide)

Telehealth Adoption Rate
0.4% 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: 2020-06-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License KS 3572

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
Gerardo Espino , COTA, L

Occupational Therapy Assistant

NPI 1023421583

Certified Occupational Therapy Assistant, L

Leslie Keister , OTR, MOT

Occupational Therapist

NPI 1174900344

Occupational Therapist Registered, Master of Occupational Therapy

Laura Ramos

Speech-Language Pathologist

NPI 1255980330
Tara Keller

Physical Therapist

NPI 1366834012
Rhonda Butler , PT

Physical Therapist

NPI 1467857730

Physical Therapist

Angela Winter

Physical Therapy Assistant

NPI 1568891208

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address June 18, 2020

Registered at 4060 N REED AVE APT 912, MAIZE, KS 671013813 (Tel: 7852591516)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2020

Speech-Language Pathologist (License #3572 in KS)

NPI Profile Active June 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2020

Registered at 3636 N RIDGE RD, WICHITA, KS 672051213 (Tel: 3164623636)

📍
Updated Business Mailing Address June 02, 2020

Registered at 2317 TIMBER DR, HAYS, KS 676012335 (Tel: 7852591516)

👤
Provider Name / Credentials Updated June 02, 2020

Recorded as TANNER STAAB

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2020

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration June 02, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1477177863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2020
Last Update: June 18, 2020
Sole Proprietor: No

Mailing Address

4060 N Reed Ave Apt 912

Maize, KS 671013813

Phone: 7852591516

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.