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Deactivated NPI 1093265316 Deactivated / Inactive NPI Female Practitioner

Velvia Fortenberry

Speech-Language Pathologist • Jasper, MO

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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, Velvia Fortenberry has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2016
NPI Deactivation Date July 20, 2022
Total Practice Duration ~6 Years of Practice (2016 – 2022)

Professional Overview & Biography Verified Profile Summary

Velvia Fortenberry was a registered Speech-Language Pathologist practicing in Jasper, MO. Throughout an active medical career spanning 6 years, Velvia Fortenberry provided care at the practice location at 201 W MERCER ST until profile deactivation on 2022-07-20.

Practice Location & Contact Primary Location

Practice Address

201 W Mercer St

Jasper, MO 647559346

Telephone 4173942416
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jasper, MO

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

Practicing in Jasper, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MO 1982TC

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

4 Associated Practitioners
Rose Darr

Speech-Language Pathologist

NPI 1013114594
Katherine Jones , MS, CCC-SLP

Speech-Language Pathologist

NPI 1245437771

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Grace Ziler

Physical Therapist

NPI 1538593033
Jennifer Tucker , PT

Physical Therapist

NPI 1750632436

Physical Therapist

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 July 20, 2022

Record deactivated on July 20, 2022

NPI Profile Active October 11, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 11, 2016

Registered at 201 W MERCER ST, JASPER, MO 647559346 (Tel: 4173942416)

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Updated Business Mailing Address October 11, 2016

Registered at 201 W MERCER ST, JASPER, MO 647559346 (Tel: 4173942416)

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Provider Name / Credentials Updated October 11, 2016

Recorded as VELVIA FORTENBERRY

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2016

Speech-Language Pathologist (License #1982TC in MO)

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Initial NPI Registration & Enumeration October 11, 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: 1093265316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2016
Last Update: October 11, 2016
Deactivation Date: July 20, 2022

Mailing Address

201 W Mercer St

Jasper, MO 647559346

Phone: 4173942416

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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