Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780817320 Individual Practitioner Female Practitioner

Dori Ellen Pennucci , MS, CCC, SLP

Speech-Language Pathologist • Johnson City, TN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dori Pennucci, MS, CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Johnson City, TN. Official NPI practice address is registered at 2700 S ROAN ST STE 425.

Practice Location & Contact Primary Location

Practice Address

2700 S Roan St Ste 425

Johnson City, TN 376017587

Telephone 4232123853
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Johnson City, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
94 Specialists

Practicing in Johnson City, TN (3778 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: 2024-05-20
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TN 6384

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 NY 019388-1

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
Q079468 (TN)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Whitney Tipton , OTR, L

Occupational Therapist

NPI 1679278154

Occupational Therapist Registered, L

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location May 20, 2024

Registered at 2700 S ROAN ST STE 425, JOHNSON CITY, TN 376017587 (Tel: 4232123853)

📍
Updated Practice Location December 03, 2021

Registered at 207 N BOONE ST STE 3, JOHNSON CITY, TN 376045659 (Tel: 4232123853)

📍
Updated Business Mailing Address December 03, 2021

Registered at 332 LAUREL CYN, JOHNSON CITY, TN 376154778 (Tel: 9142632063)

👤
Provider Name / Credentials Updated December 03, 2021

Recorded as DORI PENNUCCI, MS/CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2021

Speech-Language Pathologist (License #6384 in TN)

NPI Profile Active August 31, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2009

Registered at 145 COMMACK RD, COMMACK, NY 117253438 (Tel: 6314995360)

📍
Updated Business Mailing Address August 31, 2009

Registered at 145 COMMACK RD, COMMACK, NY 117253438

👤
Provider Name / Credentials Updated August 31, 2009

Recorded as DORI GREENBERG, MS/CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2009

Speech-Language Pathologist (License #019388-1 in NY)

🟢
Initial NPI Registration & Enumeration August 31, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1780817320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2009
Last Update: May 20, 2024
Sole Proprietor: Yes

Mailing Address

332 Laurel Cyn

Johnson City, TN 376154778

Phone: 9142632063

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.