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Deactivated NPI 1871038307 Deactivated / Inactive NPI Female Practitioner

Carolyn Eckertova , CCC-SLP

Speech-Language Pathologist • Grand Rapids, MI

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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, Carolyn Eckertova has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 19, 2016
NPI Deactivation Date November 15, 2024
Total Practice Duration ~8 Years of Practice (2016 – 2024)

Professional Overview & Biography Verified Profile Summary

Carolyn Eckertova, CCC-SLP was a registered Speech-Language Pathologist practicing in Grand Rapids, MI. Throughout an active medical career spanning 8 years, Carolyn Eckertova provided care at the practice location at 2251 EAST PARIS AVE SE until profile deactivation on 2024-11-15.

Practice Location & Contact Primary Location

Practice Address

2251 East Paris Ave Se

Grand Rapids, MI 49546

Telephone 6163229484

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
281 Specialists

Practicing in Grand Rapids, MI (3778 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MI 7101002780

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

3 Associated Practitioners
Marissa Haley

Speech-Language Pathologist

NPI 1013489111
Kristen Breimayer , MOT, OTR, L

Occupational Therapist

NPI 1235323767

Master of Occupational Therapy, Occupational Therapist Registered, L

NPI 1730549577

Master of Science, Occupational Therapist Registered, L

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 November 15, 2024

Record deactivated on November 15, 2024

NPI Profile Active December 19, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 19, 2016

Registered at 2251 EAST PARIS AVE SE, GRAND RAPIDS, MI 49546 (Tel: 6163229484)

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Updated Business Mailing Address December 19, 2016

Registered at 2160 FULTON ST. E, GRAND RAPIDS, MI 495033922 (Tel: 6163229484)

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Provider Name / Credentials Updated December 19, 2016

Recorded as CAROLYN ECKERTOVA, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2016

Speech-Language Pathologist (License #7101002780 in MI)

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Initial NPI Registration & Enumeration December 19, 2016

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: 1871038307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2016
Last Update: December 19, 2016
Deactivation Date: November 15, 2024

Mailing Address

2160 Fulton St. E

Grand Rapids, MI 495033922

Phone: 6163229484

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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