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Deactivated NPI 1578718235 Deactivated / Inactive NPI Female Practitioner

Audrey Axelson

Speech-Language Pathologist • Jamaica, NY

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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, Audrey Axelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 22, 2008
NPI Deactivation Date March 30, 2022
Total Practice Duration ~14 Years of Practice (2008 – 2022)

Professional Overview & Biography Verified Profile Summary

Audrey Axelson was a registered Speech-Language Pathologist practicing in Jamaica, NY. Throughout an active medical career spanning 14 years, Audrey Axelson provided care at the practice location at 8225 164TH ST until profile deactivation on 2022-03-30.

Practice Location & Contact Primary Location

Practice Address

8225 164th St

Jamaica, NY 114321120

Telephone 7183720002
Fax 7183803214
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jamaica, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
129 Specialists

Practicing in Jamaica, NY (25106 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 NY 0003761

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

19 Associated Practitioners
Susan Fenster

Speech-Language Pathologist

NPI 1073768743
Carol Dodds-Liss , OTR

Occupational Therapist

NPI 1134364292

Occupational Therapist Registered

Linda Salata , MA, CCC, SLP

Speech-Language Pathologist

NPI 1174777304

Master of Arts, Certificate of Clinical Competence, Speech-Language Pathologist

Lisa Elmore

Specialist

NPI 1366687931
Daniel Fenster , MA, CCC-SLP

Speech-Language Pathologist

NPI 1366696544

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

Sylvia Krivickas , MS, PT

Physical Therapist - Pediatrics

NPI 1417102799

Master of Science, 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 March 30, 2022

Record deactivated on March 30, 2022

NPI Profile Active November 22, 2008

NPI status registered as active in NPPES database

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Updated Practice Location November 22, 2008

Registered at 8225 164TH ST, JAMAICA, NY 114321120 (Tel: 7183720002)

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Updated Business Mailing Address November 22, 2008

Registered at 8115 164TH ST, JAMAICA, NY 114321118 (Tel: 7183803000)

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Provider Name / Credentials Updated November 22, 2008

Recorded as AUDREY AXELSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2008

Speech-Language Pathologist (License #0003761 in NY)

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Initial NPI Registration & Enumeration November 22, 2008

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: 1578718235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2008
Last Update: November 22, 2008
Deactivation Date: March 30, 2022

Mailing Address

8115 164th St

Jamaica, NY 114321118

Phone: 7183803000

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.