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Mary Katherine Soderstrom , MS CCC-SLP

Speech-Language Pathologist β€’ Natchez, MS

Active NPI 1407419674 Individual Practitioner Female Practitioner
Practice location in NPPES

54 Sgt Prentiss Dr
Natchez, MS 39120

Call 6014432100 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

54 Sgt Prentiss Dr

Natchez, MS 39120

Telephone 6014432100
Organization at the Same NPPES Address or Phone
Natchez Regional Medical Center Facility NPI 1669536041

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Forest City, NC. 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

2019

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 Natchez and Mississippi

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Natchez

0% of these 22 clinicians have the CMS telehealth indicator.

0% of these 22 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

License # reported to NPPES NC 13449

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

Secondary Practice Locations

830 Bethany Church Rd

Forest City, NC 280438106

Phone: 8282455164

830 Bethany Church Rd

Forest City, NC 280438106

Phone: 8282455164

830 Bethany Church Rd

Forest City, NC 280438106

Phone: 8282455164

54 Sgt Prentiss Dr

Natchez, MS 391204726

Phone: 6014432100

Clinicians Sharing This Practice Address or Phone

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

9 listed
Dr. Leonard Addae , MD

Emergency Medicine

NPI 1659791861

Doctor of Medicine (M.D.)

Brynna Burnsed , PA

Physician Assistant

NPI 1053695668

Physician Assistant

Leigh Chafton , FNP-BC

Nurse Practitioner - Family

NPI 1497324818

Family Nurse Practitioner (Board Certified)

Raymond Mahar , NP

Nurse Practitioner

NPI 1932620085

Nurse Practitioner

Dr. Kirk Moses , MD

Internal Medicine

NPI 1669729729

Doctor of Medicine (M.D.)

Arthur Person , CRNA

Nurse Anesthetist, Certified Registered

NPI 1053305029

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location June 03, 2019

Registered at 54 SGT PRENTISS DR, NATCHEZ, MS 39120 (Tel: 6014432100)

πŸ“
Updated Business Mailing Address June 03, 2019

Registered at 54 SGT PRENTISS DR, NATCHEZ, MS 391204726

βœ…
NPI Profile Active April 15, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 15, 2019

Registered at 830 BETHANY CHURCH RD, FOREST CITY, NC 280438106 (Tel: 8282455164)

πŸ“
Business Mailing Address (Initial Record) April 15, 2019

Registered at 830 BETHANY CHURCH RD, FOREST CITY, NC 280438106 (Tel: 8282455164)

πŸ‘€
Provider Name / Credentials (Initial Record) April 15, 2019

Recorded as MARY SODERSTROM, MS CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2019

Speech-Language Pathologist (license number reported to NPPES: NC 13449)

🟒
Initial NPI Registration & Enumeration April 15, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407419674
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2019
Last Update: June 03, 2019
Sole Proprietor: No

Mailing Address

54 Sgt Prentiss Dr

Natchez, MS 391204726

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.