Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316459415 Individual Practitioner Female Practitioner

Jacqueline Nicole Phillips , MA CCC-SLP

Speech-Language Pathologist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Jacqueline Phillips, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Tyler, TX. Practice services are available at 3310 S BROADWAY AVE STE 100I under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3310 S Broadway Ave Ste 100i

Tyler, TX 757017818

Telephone 9037811832
Fax 8777984959
Associated Practice Facility / Clinic
🏢 Bo Keeling, Pllc Facility NPI 1639526783

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.9 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
185 Specialists

Practicing in Tyler, TX (17210 Statewide)

Telehealth Adoption Rate
2.7% 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: 2026-02-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 113608

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

12 Associated Practitioners
Avery Fray , MS, CCC-SLP

Speech-Language Pathologist

NPI 1003609652

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

Dr. Tina Jaremko , PhD, CCC-SLP

Speech-Language Pathologist

NPI 1013764828

Doctor of Philosophy (Ph.D.), Speech-Language Pathologist (Certificate of Clinical Competence)

Kate Hamilton , MA, CF-SLP

Speech-Language Pathologist

NPI 1164357141

Master of Arts, Clinical Fellow in Speech-Language Pathology

Riley Lankford , MS SLP

Speech-Language Pathologist

NPI 1346074416

MSSLP

Kaylene Lowery , MS CCC, SLP

Speech-Language Pathologist

NPI 1356909519

MSCCC, Speech-Language Pathologist

Dr. Cryslan Daughtry , OTD

Occupational Therapist

NPI 1497681654

Doctor of Occupational Therapy

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 26, 2026

Registered at 3310 S BROADWAY AVE STE 100I, TYLER, TX 757017818 (Tel: 9037811832)

📍
Updated Business Mailing Address January 31, 2024

Registered at 5000 TRENTON DR, TYLER, TX 757033109

👤
Provider Name / Credentials Updated January 31, 2024

Recorded as JACQUELINE PHILLIPS, M.A. CCC-SLP

NPI Profile Active October 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2017

Registered at 15820 ADDISON RD, ADDISON, TX 750013549 (Tel: 8669193240)

📍
Updated Business Mailing Address October 30, 2017

Registered at 900 N AZALEA DR, TYLER, TX 757015203

👤
Provider Name / Credentials Updated October 30, 2017

Recorded as JACQUELINE JEWELL, M.A. CF-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2017

Speech-Language Pathologist (License #113608 in TX)

🟢
Initial NPI Registration & Enumeration October 30, 2017

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: 1316459415
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2017
Last Update: February 26, 2026
Sole Proprietor: No

Mailing Address

5000 Trenton Dr

Tyler, TX 757033109

Phone: 9037803505

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.