Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336281104 Individual Practitioner Female Practitioner

Adrienne Katherine Wilde , MS, CCC SLP

Speech-Language Pathologist • Jefferson City, MO

Professional Overview & Biography Verified Profile Summary

Adrienne Wilde, MS, CCC SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Jefferson City, MO. Practice services are available at 1432 SOUTHWEST BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1432 Southwest Blvd

Jefferson City, MO 651092444

Telephone 5736325633
Fax 5376325990
Associated Practice Facility / Clinic
🏢 Capital Region Medical Center Facility NPI 1053385096

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jefferson City, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
84 Specialists

Practicing in Jefferson City, 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 117608

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. Vineela Kasireddy , MD

Internal Medicine - Hematology & Oncology

NPI 1003256645

Doctor of Medicine (M.D.)

NPI 1003853367

MSPSYCHOLOGIST

Zachary Dwiggins , LPC

Counselor - Professional

NPI 1053092999

Licensed Professional Counselor

Beatriz Fortaleza , ANP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063044626

Adult Nurse Practitioner

Amy Gruss

Pharmacist - Oncology

NPI 1093659922
Kendall Grayson , MA, LPC

Counselor - Professional

NPI 1104029321

Master of Arts, Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 651092444 (Tel: 5736325633)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5521 DOVE LAKE RD, JEFFERSON CITY, MO 651019328 (Tel: 5732914646)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ADRIENNE WILDE, MS, CCC SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #117608 in MO)

🟢
Initial NPI Registration & Enumeration February 12, 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: 1336281104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

5521 Dove Lake Rd

Jefferson City, MO 651019328

Phone: 5732914646

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.