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Active NPI 1447649595 Individual Practitioner Female Practitioner

Keshia J Russell , MCD, CCC-SLP

Speech-Language Pathologist • Doniphan, MO

Professional Overview & Biography Verified Profile Summary

Keshia Russell, MCD, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Doniphan, MO. Practice services are available at 1002 ELM STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1002 Elm Street

Doniphan, MO 63935

Telephone 5739963667
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Doniphan, MO

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

Practicing in Doniphan, 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: 2020-08-11
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

3 Associated Practitioners
Brandon Burns , MOTR, L

Occupational Therapist

NPI 1346550191
Natasha Shepherd

Specialist/Technologist - Speech-Language Assistant

NPI 1669235958
Macey Stcin , COTA

Occupational Therapy Assistant

NPI 1811866502

Certified Occupational Therapy Assistant

Career & Practice History Timeline

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

10 Historical Events
👤
Provider Name / Credentials Updated August 11, 2020

Recorded as KESHIA RUSSELL, MCD, CCC-SLP

📍
Updated Practice Location August 10, 2020

Registered at 1002 ELM STREET, DONIPHAN, MO 63935 (Tel: 5739963667)

📍
Updated Business Mailing Address August 10, 2020

Registered at 1002 ELM STREET, DONIPHAN, MO 63935 (Tel: 5739963667)

👤
Provider Name / Credentials Updated August 10, 2020

Recorded as KESHIA BERRONG, MCD, CCC-SLP

NPI Profile Active January 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2015

Registered at 1002 ELM ST, DONIPHAN, MO 639351116 (Tel: 5739963667)

📍
Updated Business Mailing Address January 13, 2015

Registered at PO BOX 131, DONIPHAN, MO 639350131 (Tel: 5739967811)

👤
Provider Name / Credentials Updated January 13, 2015

Recorded as KESHIA BERRONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2015

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration January 13, 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: 1447649595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2015
Last Update: August 11, 2020
Sole Proprietor: No

Mailing Address

1002 Elm Street

Doniphan, MO 63935

Phone: 5739963667

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.