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Deactivated NPI 1043764038 Deactivated / Inactive NPI Female Practitioner

Neima Vandusen , MS, CCC-SLP

Speech-Language Pathologist • Okmulgee, OK

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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, Neima Vandusen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 08, 2016
NPI Deactivation Date December 12, 2024
Total Practice Duration ~8 Years of Practice (2016 – 2024)

Professional Overview & Biography Verified Profile Summary

Neima Vandusen, MS, CCC-SLP was a registered Speech-Language Pathologist practicing in Okmulgee, OK. Throughout an active medical career spanning 8 years, Neima Vandusen provided care at the practice location at 316 E 8TH ST until profile deactivation on 2024-12-12.

Practice Location & Contact Primary Location

Practice Address

316 E 8th St

Okmulgee, OK 744474616

Telephone 9187582000
Associated Practice Facility / Clinic
🏢 Okmulgee Publilc Schools Facility NPI 1487783502

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Okmulgee, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
11 Specialists

Practicing in Okmulgee, OK (2489 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 OK 4590

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

2 Associated Practitioners
Tifanie Lyn , MS

Speech-Language Pathologist

NPI 1164784831

Master of Science

Heather Holmes , MA, CCC-SLP

Speech-Language Pathologist

NPI 1831610682

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

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 December 12, 2024

Record deactivated on December 12, 2024

NPI Profile Active August 08, 2016

NPI status registered as active in NPPES database

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Updated Practice Location August 08, 2016

Registered at 316 E 8TH ST, OKMULGEE, OK 744474616 (Tel: 9187582000)

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Updated Business Mailing Address August 08, 2016

Registered at 3304 W ELGIN ST, BROKEN ARROW, OK 740122279 (Tel: 2085857227)

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Provider Name / Credentials Updated August 08, 2016

Recorded as NEIMA VANDUSEN, M.S.,CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2016

Speech-Language Pathologist (License #4590 in OK)

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Initial NPI Registration & Enumeration August 08, 2016

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: 1043764038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2016
Last Update: August 08, 2016
Deactivation Date: December 12, 2024

Mailing Address

3304 W Elgin St

Broken Arrow, OK 740122279

Phone: 2085857227

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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