Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144375098 Individual Practitioner Female Practitioner

Shannon Stuckey , MA-CCC

Speech-Language Pathologist • Clermont, FL

Professional Overview & Biography Verified Profile Summary

Shannon Stuckey, MA-CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Clermont, FL. Practice services are available at 2400 S HWY 27 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2400 S Hwy 27

Clermont, FL 347116816

Telephone 3523940212
Associated Practice Facility / Clinic
🏢 Lagnos Llc Facility NPI 1215170378

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Clermont, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
70 Specialists

Practicing in Clermont, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA8644

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
891506700 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kaitlin Walsh , OTR, L

Occupational Therapist

NPI 1003276619

Occupational Therapist Registered, L

Ashleigh Doiron

Early Intervention Provider Agency

NPI 1003575374
Heather Gingrasso

Physical Therapy Assistant

NPI 1013373901
Whitney Williams , PTA

Physical Therapy Assistant

NPI 1013601855

Physical Therapist Assistant

Annaliese Alicea , COTA

Occupational Therapy Assistant

NPI 1013630805

Certified Occupational Therapy Assistant

Barbara De Jesus-Rivera , MS, CCC-SLP

Speech-Language Pathologist

NPI 1033290556

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 24, 2021

Registered at 2400 S HWY 27, CLERMONT, FL 347116816 (Tel: 3523940212)

📍
Updated Business Mailing Address September 24, 2021

Registered at 1010 SUMMER LAKES DR, ORLANDO, FL 328355126 (Tel: 4078089726)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1517 ADRIATIC DR, OCOEE, FL 347614104 (Tel: 3524089083)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1517 ADRIATIC DR, OCOEE, FL 347614104 (Tel: 3524089083)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SHANNON STUCKEY, MA-CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SA8644 in FL)

🟢
Initial NPI Registration & Enumeration January 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144375098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2007
Last Update: September 24, 2021
Sole Proprietor: No

Mailing Address

1010 Summer Lakes Dr

Orlando, FL 328355126

Phone: 4078089726

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.