IndividualActive
Kelly Diekemper
NPI 1285992560 · Speech-Language Pathologist · O Fallon, IL
Provider details
- NPI number
- 1285992560
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 242.002236 (IL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
634 N Main St Ste 3
O Fallon, IL 62269-3746
Phone: (618) 632-4222
Street-level locationGet directions
Mailing address
740 N Harrison St
Trenton, IL 62293-1072
Registry dates
- Enumerated
- 2012-04-24
- Last updated
- 2013-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.