Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063246502 Individual Practitioner Female Practitioner

Billie Jo Revels

Speech-Language Pathologist • Crescent City, FL

Professional Overview & Biography Verified Profile Summary

Billie Revels is a registered healthcare professional specializing in Speech-Language Pathologist in Crescent City, FL. Practice services are available at 100 N LAKE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 N Lake St

Crescent City, FL 321122620

Telephone 3869370173
Associated Practice Facility / Clinic
🏢 Lakewood Nursing Center Inc Facility NPI 1972505949

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Crescent City, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Crescent City, 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: 2024-08-28
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA11711

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Kylee Stoltzfus

Physical Therapy Assistant

NPI 1194609164

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 28, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2024

Registered at 100 N LAKE ST, CRESCENT CITY, FL 321122620 (Tel: 3869370173)

📍
Updated Business Mailing Address August 28, 2024

Registered at 116 CONFEDERATE POINT RD, PALATKA, FL 321778552 (Tel: 3869370173)

👤
Provider Name / Credentials Updated August 28, 2024

Recorded as BILLIE REVELS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2024

Speech-Language Pathologist (License #SA11711 in FL)

🟢
Initial NPI Registration & Enumeration August 28, 2024

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: 1063246502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2024
Last Update: August 28, 2024
Sole Proprietor: Yes

Mailing Address

116 Confederate Point Rd

Palatka, FL 321778552

Phone: 3869370173

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.