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Mattie Mckinney , MS, CCC-SLP

Speech-Language Pathologist β€’ Normal, IL

Active NPI 1831546878 Individual Practitioner Female Practitioner
Practice location in NPPES

1606 Hunt Dr
Normal, IL 617612192

Call 3094518888 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1606 Hunt Dr

Normal, IL 617612192

Telephone 3094518888
Organization at the Same NPPES Address or Phone
Mid-Illinois Hematology Oncology Associates Ltd Facility NPI 1467467803

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Normal and Illinois

46 active clinicians are listed under Speech-Language Pathologist with a practice address in Normal, IL (10,226 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Normal

0% of these 46 clinicians have the CMS telehealth indicator.

4.3% of these 46 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Lyndi Alberts , APN, FNP

Nurse Practitioner - Family

NPI 1346673308

Advanced Practice Nurse, Family Nurse Practitioner

Dr. Hwan Jeong , MD

Internal Medicine - Hematology & Oncology

NPI 1366440604

Doctor of Medicine (M.D.)

Pamela Madden , FNP

Nurse Practitioner - Family

NPI 1518419233

Family Nurse Practitioner

Dr. John Migas , MD

Internal Medicine - Medical Oncology

NPI 1629076971

Doctor of Medicine (M.D.)

Dr. Pramern Sriratana , MD

Internal Medicine - Hematology & Oncology

NPI 1174522189

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 19, 2019

Registered at 1606 HUNT DR, NORMAL, IL 617612192 (Tel: 3094518888)

πŸ‘€
Provider Name / Credentials Updated August 19, 2019

Recorded as MATTIE MCKINNEY, M.S., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2019

Speech-Language Pathologist

βœ…
NPI Profile Active May 19, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 19, 2016

Registered at 2920 FENTON ST, WHEAT RIDGE, CO 802148116 (Tel: 3032380481)

πŸ“
Business Mailing Address (Initial Record) May 19, 2016

Registered at 101 E STATE ST, KENNETT SQUARE, PA 193483109

πŸ‘€
Provider Name / Credentials (Initial Record) May 19, 2016

Recorded as MATTIE WALL, M.S., CF-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2016

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 19, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831546878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2016
Last Update: August 19, 2019
Sole Proprietor: No

Mailing Address

101 E State St

Kennett Square, PA 193483109

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.