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Active NPI 1124495627 Individual Practitioner Female Practitioner

Krystal Jaquish , MA, SLP-CCC, TSLD

Speech-Language Pathologist • Lewis, NY

Professional Overview & Biography Verified Profile Summary

Krystal Jaquish, MA, SLP-CCC, TSLD is a registered healthcare professional specializing in Speech-Language Pathologist in Lewis, NY. Practice services are available at 8566 U.S. ROUTE 9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8566 U.s. Route 9

Lewis, NY 12950

Telephone 5185657036

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lewis, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Lewis, 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

CMS Verified: 2020-12-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 027551

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License NY 968174151

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Practice Locations

116 Alexandria Ave

Ticonderoga, NY 128831644

Phone: 5185657017

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 07, 2020

Registered at 8566 U.S. ROUTE 9, LEWIS, NY 12950 (Tel: 5185657036)

👤
Provider Name / Credentials Updated December 07, 2020

Recorded as KRYSTAL JAQUISH, M.A., SLP-CCC, TSLD

NPI Profile Active August 31, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2015

Registered at 116 ALEXANDRIA AVE, TICONDEROGA, NY 128831644 (Tel: 5185657017)

📍
Updated Business Mailing Address August 31, 2015

Registered at 28 HILTON TER, WILLSBORO, NY 129964042

👤
Provider Name / Credentials Updated August 31, 2015

Recorded as KRYSTAL PORTER, M.A., SLP, CFY, TSLD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2015

Specialist (License #968174151 in NY)

🟢
Initial NPI Registration & Enumeration August 31, 2015

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: 1124495627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2015
Last Update: December 07, 2020
Sole Proprietor: No

Mailing Address

28 Hilton Ter

Willsboro, NY 129964042

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.