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Deactivated NPI 1891057097 Deactivated / Inactive NPI Female Practitioner

Jean Kennedy , SLP

Speech-Language Pathologist • Southlake, TX

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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, Jean Kennedy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 13, 2012
NPI Deactivation Date January 09, 2018
Total Practice Duration ~6 Years of Practice (2012 – 2018)

Professional Overview & Biography Verified Profile Summary

Jean Kennedy, SLP was a registered Speech-Language Pathologist practicing in Southlake, TX. Throughout an active medical career spanning 6 years, Jean Kennedy provided care at the practice location at 101 WATERMERE DR until profile deactivation on 2018-01-09.

Practice Location & Contact Primary Location

Practice Address

101 Watermere Dr

Southlake, TX 760928116

Telephone 8174318668

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Southlake, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
65 Specialists

Practicing in Southlake, TX (17210 Statewide)

Telehealth Adoption Rate
1.5% 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 TX 19764

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

14 Associated Practitioners
Jennifer Merimonti , PT

Physical Therapist

NPI 1053553776

Physical Therapist

Cheryl Austin , PTA

Physical Therapy Assistant

NPI 1063666378

Physical Therapist Assistant

Evin Fahey , MSCCC-SLP

Speech-Language Pathologist

NPI 1083963078

MSCCCSLP

Monica Smothers , MA, CCC-SLP

Speech-Language Pathologist

NPI 1114271608

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

Jennifer Murray , PT

Physical Therapist

NPI 1235434127

Physical Therapist

Katherine Humbert , OTR

Occupational Therapist

NPI 1407000110

Occupational Therapist Registered

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 January 09, 2018

Record deactivated on January 09, 2018

NPI Profile Active June 13, 2012

NPI status registered as active in NPPES database

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Updated Practice Location June 13, 2012

Registered at 101 WATERMERE DR, SOUTHLAKE, TX 760928116 (Tel: 8174318668)

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Updated Business Mailing Address June 13, 2012

Registered at 101 WATERMERE DR, SOUTHLAKE, TX 760928116 (Tel: 8174318668)

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Provider Name / Credentials Updated June 13, 2012

Recorded as JEAN KENNEDY, SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2012

Speech-Language Pathologist (License #19764 in TX)

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Initial NPI Registration & Enumeration June 13, 2012

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: 1891057097
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2012
Last Update: June 13, 2012
Deactivation Date: January 09, 2018

Mailing Address

101 Watermere Dr

Southlake, TX 760928116

Phone: 8174318668

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.