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Deactivated NPI 1144609165 Deactivated / Inactive NPI Female Practitioner

Jacqueline Fresh , CCC-SLP

Speech-Language Pathologist • Louisville, KY

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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, Jacqueline Fresh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 22, 2015
NPI Deactivation Date June 07, 2021
Total Practice Duration ~6 Years of Practice (2015 – 2021)

Professional Overview & Biography Verified Profile Summary

Jacqueline Fresh, CCC-SLP was a registered Speech-Language Pathologist practicing in Louisville, KY. Throughout an active medical career spanning 6 years, Jacqueline Fresh provided care at the practice location at 10330 BUNSEN WAY until profile deactivation on 2021-06-07.

Practice Location & Contact Primary Location

Practice Address

10330 Bunsen Way

Louisville, KY 402992508

Telephone 5024951662
Fax 5024951665
Associated Practice Facility / Clinic
🏢 Kaleidoscope Inc Facility NPI 1376611129

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Louisville, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
658 Specialists

Practicing in Louisville, KY (2945 Statewide)

Telehealth Adoption Rate
0.2% 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 KY 3123

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

10 Associated Practitioners
Chelsea Miller

Occupational Therapist

NPI 1265918213
NPI 1285053785

Physical Therapist, Doctor of Physical Therapy

Natalie Metzger , OTR

Occupational Therapist

NPI 1295519510

Occupational Therapist Registered

Rylee Pitzer , CF-SLP

Speech-Language Pathologist

NPI 1295576577

Clinical Fellow in Speech-Language Pathology

Jessica Thelen

Speech-Language Pathologist

NPI 1306215330
Dr. Eleanor Brooks , OTR, L, OTD

Occupational Therapist

NPI 1356720361

Occupational Therapist Registered, L, Doctor of Occupational Therapy

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated June 07, 2021

Record deactivated on June 07, 2021

NPI Profile Active May 22, 2015

NPI status registered as active in NPPES database

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Updated Practice Location May 22, 2015

Registered at 10330 BUNSEN WAY, LOUISVILLE, KY 402992508 (Tel: 5024951662)

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Updated Business Mailing Address May 22, 2015

Registered at 10330 BUNSEN WAY, LOUISVILLE, KY 402992508 (Tel: 5024951662)

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Provider Name / Credentials Updated May 22, 2015

Recorded as JACQUELINE FRESH, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2015

Speech-Language Pathologist (License #3123 in KY)

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Initial NPI Registration & Enumeration May 22, 2015

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: 1144609165
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2015
Last Update: May 22, 2015
Deactivation Date: June 07, 2021

Mailing Address

10330 Bunsen Way

Louisville, KY 402992508

Phone: 5024951662

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.