Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497218911 Individual Practitioner Female Practitioner

Mary Jaclyn Nelson , ST

Speech-Language Pathologist • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Mary Nelson, ST is a registered healthcare professional specializing in Speech-Language Pathologist in Springfield, MO. Practice services are available at 440 E TAMPA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

440 E Tampa St

Springfield, MO 658061131

Telephone 4178310150
Fax 4178653479
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
226 Specialists

Practicing in Springfield, MO (5112 Statewide)

Telehealth Adoption Rate
0.4% 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 2013017730

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

Commercial Insurance / Payer ID Missouri License
2013017730 (MO)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013172618

Doctor of Dental Surgery

Sharyn Salkil , FNP

Nurse Practitioner - Family

NPI 1023860855

Family Nurse Practitioner

NPI 1063306918

Doctor of Dental Surgery

Amber Greek , RDH

Dental Hygienist

NPI 1063344489

Registered Dental Hygienist

Dr. Carrie Arquitt , DDS

Dentist - Pediatric Dentistry

NPI 1063520054

Doctor of Dental Surgery

NPI 1063854339

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2019

Registered at 440 E TAMPA ST, SPRINGFIELD, MO 658061131 (Tel: 4178310150)

📍
Updated Business Mailing Address April 11, 2019

Registered at 631 N FOREST AVE, SPRINGFIELD, MO 658024504 (Tel: 4172072580)

👤
Provider Name / Credentials Updated April 11, 2019

Recorded as MARY NELSON, ST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2019

Speech-Language Pathologist (License #2013017730 in MO)

🟢
Initial NPI Registration & Enumeration April 11, 2019

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: 1497218911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2019
Last Update: June 11, 2019
Sole Proprietor: No

Mailing Address

631 N Forest Ave

Springfield, MO 658024504

Phone: 4172072580

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.