SHAVONNE MARISCAL (NPI# 1174161681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174161681 |
| Entity Type | Individual |
| Full Name | SHAVONNE MARISCAL |
| Practice Address |
201 N Clyde Morris Blvd Ste 320 Daytona Beach FL 32114-2724 |
| Mailing Address |
3901 University Blvd S Jacksonville FL 32216-4312 |
| Practice Telephone | 3862367017 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA11135 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
201 N CLYDE MORRIS BLVD STE 320 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356804116 | Katelyn Murphy | Occupational Therapist | 201 N Clyde Morris Blvd Ste 320, Daytona Beach, FL 32114-2724 | 2019-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487165916 | Kristina Lynne Greenway | Speech-Language Pathologist | 311 N Clyde Morris Blvd Ste 50, Daytona Beach, FL 32114-2756 | 2017-10-24 |
| 1457891665 | Beverly Koogle Mondloch | Speech-Language Pathologist | 241 Brasswood Ct, Daytona Beach, FL 32117-7127 | 2017-03-07 |
| 1538607718 | Suzanne Mary Mcgregor | Speech-Language Pathologist | 328 Wentworth Ave, Daytona Beach, FL 32124-2060 | 2017-02-07 |
| 1225482367 | Ashley M Rickels | Speech-Language Pathologist | 569 Health Blvd Ste A, Daytona Beach, FL 32114-1499 | 2016-04-14 |
| 1891165502 | Kathleen Odiorne Hanson | Speech-Language Pathologist | 1219 Dunn Avenue, Easter Seals, Daytona Beach, FL 32114 | 2015-10-07 |
| 1972982098 | Aryana B Downs | Speech-Language Pathologist | 228 Bauer Cir, Daytona Beach, FL 32124-2031 | 2015-05-21 |
| 1386999746 | Virginia Ragsdale Gora | Speech-Language Pathologist | 1104 Beville Rd., Daytona Beach, FL 32114 | 2012-07-20 |
| 1326349838 | Jacqueline Mcnamara | Speech-Language Pathologist | 1104 Beville Rd Ste J, Daytona Beach, FL 32114-5765 | 2010-11-15 |
| 1336393354 | Annette Marie Baerga | Speech-Language Pathologist | 324 Perfect Dr, Daytona Beach, FL 32124-2067 | 2008-11-05 |
| 1336288604 | Gayle Belin | Speech-Language Pathologist | 1834 Mason Ave, Daytona Beach, FL 32117-5101 | 2007-02-05 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on SHAVONNE MARISCAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.