Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548801103 Individual Practitioner Female Practitioner

Katie Tackaberry , CCC-SLP

Speech-Language Pathologist • Sparta, NJ

Professional Overview & Biography Verified Profile Summary

Katie Tackaberry, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Sparta, NJ. Practice services are available at 10 GAIL CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10 Gail Ct

Sparta, NJ 078713439

Telephone 9735796980

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Sparta, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
14 Specialists

Practicing in Sparta, NJ (4944 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 NJ 41YS00884700

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 04, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2019

Registered at 10 GAIL CT, SPARTA, NJ 078713439 (Tel: 9735796980)

📍
Updated Business Mailing Address October 04, 2019

Registered at 1706 WHITE PINE CT, CEDAR KNOLLS, NJ 079271336 (Tel: 9732703484)

👤
Provider Name / Credentials Updated October 04, 2019

Recorded as KATIE TACKABERRY, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2019

Speech-Language Pathologist (License #41YS00884700 in NJ)

🟢
Initial NPI Registration & Enumeration October 04, 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: 1548801103
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2019
Last Update: October 04, 2019
Sole Proprietor: Yes

Mailing Address

1706 White Pine Ct

Cedar Knolls, NJ 079271336

Phone: 9732703484

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.