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Kathryn A Vickers , MS CCC- SLP

Speech-Language Pathologist β€’ Fairfield, IA

Active NPI 1194010215 Individual Practitioner Female Practitioner
Practice location in NPPES

1203 S Main St
Fairfield, IA 525563847

Call 6419191628 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

1203 S Main St

Fairfield, IA 525563847

Telephone 6419191628
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Tucson, AZ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2011

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 Fairfield and Iowa

6 active clinicians are listed under Speech-Language Pathologist with a practice address in Fairfield, IA (1,080 in Iowa).

Addresses are self-reported to NPPES and may be out of date.

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

License # reported to NPPES IA 077678

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

License # reported to NPPES AZ TSLP7281

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.

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: Iowa State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

7368 N La Cholla Blvd

Tucson, AZ 857412305

Phone: 5207423092

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location April 27, 2018

Registered at 1203 S MAIN ST, FAIRFIELD, IA 525563847 (Tel: 6419191628)

πŸ“
Updated Business Mailing Address April 27, 2018

Registered at 1203 S MAIN ST, FAIRFIELD, IA 525563847 (Tel: 6419191628)

πŸ‘€
Provider Name / Credentials Updated April 27, 2018

Recorded as KATHRYN VICKERS, MS. CCC- SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2018

Speech-Language Pathologist (license number reported to NPPES: IA 077678)

βœ…
NPI Profile Active June 16, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 16, 2011

Registered at 7368 N LA CHOLLA BLVD, TUCSON, AZ 857412305 (Tel: 5207423092)

πŸ“
Business Mailing Address (Initial Record) June 16, 2011

Registered at 7368 N LA CHOLLA BLVD, TUCSON, AZ 857412305 (Tel: 5207423092)

πŸ‘€
Provider Name / Credentials (Initial Record) June 16, 2011

Recorded as KATHRYN VICKERS, CFY, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2011

Speech-Language Pathologist (license number reported to NPPES: AZ TSLP7281)

🟒
Initial NPI Registration & Enumeration June 16, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194010215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2011
Last Update: April 27, 2018
Sole Proprietor: No

Mailing Address

1203 S Main St

Fairfield, IA 525563847

Phone: 6419191628

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.