Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841417995 Individual Practitioner Female Practitioner

Dianne Louise Conkling , MA, CCC-SLP

Speech-Language Pathologist • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Dianne Conkling, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Gallup, NM. Practice services are available at 1000 E AZTEC AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 E Aztec Ave

Gallup, NM 873015509

Telephone 5057211845
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Gallup, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
26 Specialists

Practicing in Gallup, NM (2057 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 NM 4076

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License OR 12680

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

Medicaid State Provider ID
79059023 (NM)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Katelyn Ferguson

Speech-Language Pathologist

NPI 1003332990
Karen Kohler , OTRL

Occupational Therapist

NPI 1013132356

Occupational Therapist Registered & Licensed

Jeffrey Curnett

Speech-Language Pathologist

NPI 1033304613
Kendra Kennedy

Speech-Language Pathologist

NPI 1033340427
Brenda Rosebrough , MS, CCC-SLP

Speech-Language Pathologist

NPI 1043341472

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

Theodora James

Social Worker - School

NPI 1063055267

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1000 E AZTEC AVE, GALLUP, NM 873015509 (Tel: 5057211845)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 903, JAMESTOWN, NM 873470903 (Tel: 5057211845)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as DIANNE CONKLING, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #4076 in NM)

🟢
Initial NPI Registration & Enumeration April 19, 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: 1841417995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2007
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

Po Box 903

Jamestown, NM 873470903

Phone: 5057211845

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.