Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609693803 Individual Practitioner Male Practitioner

Jacob Graves , CCC-SLP

Speech-Language Pathologist • Bridgeton, MO

Professional Overview & Biography Verified Profile Summary

Jacob Graves, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bridgeton, MO. Practice services are available at 12303 DE PAUL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12303 De Paul Dr

Bridgeton, MO 630442512

Telephone 3143446000
Associated Practice Facility / Clinic
🏢 Northwest Anesthesia Ltd Facility NPI 1114917374

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bridgeton, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Bridgeton, MO (5112 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: 2024-09-20
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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

40 Associated Practitioners
Dr. Rebekah Cheng , DPT

Physical Therapist

NPI 1013704774

Doctor of Physical Therapy

NPI 1033164595

Doctor of Medicine (M.D.)

NPI 1033955125

Physical Therapist, Doctor of Physical Therapy

Timothy Guernsey

Nurse Anesthetist, Certified Registered

NPI 1063052918
Susan Fliesher , NP

Nurse Practitioner - Pediatrics

NPI 1063667665

Nurse Practitioner

Linda Shofner , CPNP

Psychiatry & Neurology - Psychiatry

NPI 1073560405

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 20, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 20, 2024

Registered at 12303 DE PAUL DR, BRIDGETON, MO 630442512 (Tel: 3143446000)

📍
Updated Business Mailing Address September 20, 2024

Registered at 5003 SOUTHWOOD DR, GODFREY, IL 620351338 (Tel: 6185700928)

👤
Provider Name / Credentials Updated September 20, 2024

Recorded as JACOB GRAVES, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2024

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration September 20, 2024

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: 1609693803
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2024
Last Update: September 20, 2024
Sole Proprietor: Yes

Mailing Address

5003 Southwood Dr

Godfrey, IL 620351338

Phone: 6185700928

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.