Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215102132 Individual Practitioner Female Practitioner

Christa J Vandervort , SP

Speech-Language Pathologist • Green River, WY

Professional Overview & Biography Verified Profile Summary

Christa Vandervort, SP is a registered healthcare professional specializing in Speech-Language Pathologist in Green River, WY. Practice services are available at 1400 UINTA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 Uinta Dr

Green River, WY 829355060

Telephone 3078724500
Fax 3078724595
Associated Practice Facility / Clinic
🏢 Sweetwater Radiology, Pc Facility NPI 1952344137

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Green River, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Green River, WY (331 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 WY SP080

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

Commercial Insurance / Payer ID Railroad Medicare Pin
080042349 (WY)

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. Lynn Eskelson , MD

Family Medicine

NPI 1003826389

Doctor of Medicine (M.D.)

Gerry Smith , OTR

Occupational Therapist

NPI 1023356326

Occupational Therapist Registered

Dr. John Sloan , MD

Family Medicine

NPI 1053342915

Doctor of Medicine (M.D.)

Dr. Ann Thedieck , MD

Family Medicine

NPI 1073569745

Doctor of Medicine (M.D.)

Joel Robertson , PA

Physician Assistant

NPI 1215285366

Physician Assistant

Kristine Sherwin , PA-C

Physician Assistant - Medical

NPI 1306892047

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 23, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2008

Registered at 1400 UINTA DR, GREEN RIVER, WY 829355060 (Tel: 3078724500)

📍
Updated Business Mailing Address April 23, 2008

Registered at 1400 UINTA DR, GREEN RIVER, WY 829355060 (Tel: 3078724500)

👤
Provider Name / Credentials Updated April 23, 2008

Recorded as CHRISTA VANDERVORT, SP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2008

Speech-Language Pathologist (License #SP080 in WY)

🟢
Initial NPI Registration & Enumeration April 23, 2008

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: 1215102132
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2008
Last Update: April 23, 2008
Sole Proprietor: No

Mailing Address

1400 Uinta Dr

Green River, WY 829355060

Phone: 3078724500

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.