MRS. AMANDA KERN (MS CCC SLP) – Speech-Language Pathologist, NPI 1972016715

MRS. AMANDA KERN (MS CCC SLP) is a healthcare provider. based in Waterloo, Illinois. specializing in Speech-Language Pathologist. They hold the professional credentials MS CCC SLP. They hold a License No. 146.011039 (IL). The NPI Number for MRS. AMANDA KERN (MS CCC SLP) is 1972016715

Main info

Female
15 Years Of Experience
Name
MRS. AMANDA KERN (MS CCC SLP)
NPI
1972016715
Phone
(618) 246-7894
Address
6489 BRAND LAKE DR
Enumeration Date
15 November 2017
Last Update Date
15 November 2017

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3144857979
Graduation Year
2011 (15 years ago)
PAC ID
8921366550
Group Practice PAC ID
2365718277
Professional Enrollment ID
I20180103000290
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. AMANDA KERN (MS CCC SLP)

  • 6489 BRAND LAKE DR

    WATERLOO, IL 622983031

    Phone: (618) 246-7894

    Type: Mailing

  • 107, South Lincoln Street, Smithton, Saint Clair County, Illinois, 62285, United States

    SMITHTON, IL 622851617

    Phone: (618) 235-4600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62298)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365718277View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeNY
-MO
Qualified Speech Language PathologistIL
Qualified Speech Language PathologistIN
Physical Therapist In Private PracticeMI
Qualified Speech Language PathologistIN
-IL

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Frequently asked questions

What number should I use to identify MRS. AMANDA KERN (MS CCC SLP) for billing?
Administrative and clinical systems typically use NPI 1972016715 for MRS. AMANDA KERN (MS CCC SLP).
Is MRS. AMANDA KERN (MS CCC SLP)'s NPI status active today?
Active status means MRS. AMANDA KERN (MS CCC SLP)'s NPI record is not deactivated in the public file.
What services align with MRS. AMANDA KERN (MS CCC SLP)'s listing?
MRS. AMANDA KERN (MS CCC SLP)'s public classification highlights Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. AMANDA KERN (MS CCC SLP)?
MRS. AMANDA KERN (MS CCC SLP) shows a connection to Waterloo, Illinois in registry-derived data.
Why is information missing for MRS. AMANDA KERN (MS CCC SLP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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