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REAGEN CORIDON CONKLIN
NPI 1043012578
Speech-Language Pathologist in Centralia, IL

Active since March 25, 2025
1827 E MCCORD ST, CENTRALIA, IL 62801(618) 608-0122 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reagen Coridon Conklin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REAGEN CORIDON CONKLIN (NPI 1043012578) is an individual speech-language pathologist provider in Centralia, Illinois and active in the NPI registry since March 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1043012578
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameREAGEN CORIDON CONKLIN
Location Address1827 E MCCORD STCentralia, IL 62801-6589
Mailing Address4627 Cj Heck RdSalem, IL 62881-3727 · (618) 780-4160
Phone(618) 608-0122
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1043012578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
1827 E MCCORD ST, Centralia, IL 62801
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reagen Coridon Conklin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436665841
PECOS Enrollment IDI20250723000096

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reagen Conklin's NPI number?

The NPI number for Reagen Conklin is 1043012578. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Reagen Conklin located?

Reagen Conklin practices at 1827 E Mccord St, Centralia, IL 62801. The listed phone number is (618) 608-0122.

What is Reagen Conklin's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Reagen Conklin enrolled in Medicare?

Yes. Reagen Conklin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Reagen Conklin was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.