Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588780050 Individual Practitioner Female Practitioner

Holly L Radicioni , SLP

Speech-Language Pathologist • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Holly Radicioni, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Jackson, MS. Practice services are available at 2500 N STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2500 N State St

Jackson, MS 392164500

Telephone 6019846426
Fax 6019846439
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
130 Specialists

Practicing in Jackson, MS (1519 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 MS S3134

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
07732813 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
NPI 1013921618

Doctor of Medicine (M.D.)

Dr. Kimberly Covington Tarver , MD

Internal Medicine - Geriatric Medicine

NPI 1013942895

Doctor of Medicine (M.D.)

NPI 1043210321

Doctor of Medicine (M.D.)

Padma Garg

Pediatrics - Pediatric Critical Care Medicine

NPI 1043500739
Angela Fagan

Nurse Practitioner - Acute Care

NPI 1073944971
Dr. Michael Mcmullan , MD

Internal Medicine - Interventional Cardiology

NPI 1104857036

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 06, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2014

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019846426)

📍
Updated Business Mailing Address March 06, 2014

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019845160)

👤
Provider Name / Credentials Updated March 06, 2014

Recorded as HOLLY RADICIONI, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2014

Speech-Language Pathologist (License #S3134 in MS)

🟢
Initial NPI Registration & Enumeration March 22, 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: 1588780050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2007
Last Update: March 06, 2014
Sole Proprietor: Yes

Mailing Address

2500 N State St

Jackson, MS 392164500

Phone: 6019845160

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.