Provider Type Icon

BAILEY KOEBERNICK NPI 1174144877


NPI Information

NPI: 1174144877
Provider Name: BAILEY KOEBERNICK
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
8856 BRINDISI PARK AVE
LAS VEGAS, NV
ZIP 89148
Phone: (847) 975-8712
Get Directions

Bailey Koebernick is a speech language pathologist in Las Vegas, NV. The provider is 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. Bailey Koebernick NPI is 1174144877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8856 BRINDISI PARK AVE
LAS VEGAS, NV
ZIP 89148-901
Phone: (847) 975-8712

The enumeration date for this NPI number is 5/4/2020 and was last updated on 5/4/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistSP-2673NEVADAYes
2235Z00000XSpeech-Language PathologistSLP12179ARIZONANo
3235Z00000XSpeech-Language Pathologist140529ALASKANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.