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Holly L Radicioni , SLP

Speech-Language Pathologist • Jackson, MS

Active NPI 1588780050 Individual Practitioner Female Practitioner
Practice location in NPPES

2500 N State St
Jackson, MS 392164500

Call 6019846426 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

2500 N State St

Jackson, MS 392164500

Telephone 6019846426
Fax 6019846439
Organization at the Same NPPES Address or Phone

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

NPI first issued

2007

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, “Does 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 Jackson and Mississippi

130 active clinicians are listed under Speech-Language Pathologist with a practice address in Jackson, MS (1,502 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

0% of these 130 clinicians have the CMS telehealth indicator.

2.3% of these 130 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 · Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MS S3134

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
07732813 (MS)

Clinicians Sharing This Practice Address or Phone

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

14 listed
Josephine Alston , SLP

Speech-Language Pathologist

NPI 1912233222

Speech-Language Pathologist

Dr. Kimberly Covington Tarver , MD

Internal Medicine - Geriatric Medicine

NPI 1013942895

Doctor of Medicine (M.D.)

Dr. Frank Criddle , MD

Internal Medicine

NPI 1447279526

Doctor of Medicine (M.D.)

Angela Fagan

Nurse Practitioner - Acute Care

NPI 1073944971
Dr. Katharine Gregg , MD

Internal Medicine - Geriatric Medicine

NPI 1194758854

Doctor of Medicine (M.D.)

NPI 1902892979

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated March 22, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1588780050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2007
Last Update: March 06, 2014
Sole Proprietor: Yes

Other Speech-Language Pathologists in Jackson

All Speech-Language Pathologists in Jackson

Mailing Address

2500 N State St

Jackson, MS 392164500

Phone: 6019845160

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.