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Active NPI 1689137101 Individual Practitioner Male Practitioner

Carson Stephens

Specialist/Technologist - Speech-Language Assistant • Fleming Island, FL

Professional Overview & Biography Verified Profile Summary

Carson Stephens is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Fleming Island, FL. Practice services are available at 1851 GOLDEN EAGLE WAY STE 43 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1851 Golden Eagle Way Ste 43

Fleming Island, FL 320034334

Telephone 9043741414
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Fleming Island, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Fleming Island, FL (1584 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

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License FL SI3626

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Speech Language Pathologist Assistant Licensure
SI3626 (FL)

Practice Associates & Co-Workers

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

18 Associated Practitioners
Kaitlin Wieczorek

Occupational Therapy Assistant

NPI 1013402122
Meredith Velazquez , MOT, OTR, L

Occupational Therapist

NPI 1164867685

Master of Occupational Therapy, Occupational Therapist Registered, L

Melinda Clark , OTR, L

Occupational Therapist

NPI 1174750038

Occupational Therapist Registered, L

Shelly Warner

Speech-Language Pathologist

NPI 1326497611
Jessica Gonzales , MS

Speech-Language Pathologist

NPI 1346895653

Master of Science

Melanie Sarris , OTR, L

Occupational Therapist

NPI 1427148899

Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2019

Registered at 1851 GOLDEN EAGLE WAY STE 43, FLEMING ISLAND, FL 320034334 (Tel: 9043741414)

📍
Updated Business Mailing Address April 11, 2019

Registered at 2104 WHITE WING DOVE PL, SAINT JOHNS, FL 322592920 (Tel: 9044390003)

👤
Provider Name / Credentials Updated April 11, 2019

Recorded as CARSON STEPHENS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2019

Specialist/Technologist (License #SI3626 in FL)

🟢
Initial NPI Registration & Enumeration April 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1689137101
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2019
Last Update: November 27, 2023
Sole Proprietor: Yes

Mailing Address

2104 White Wing Dove Pl

Saint Johns, FL 322592920

Phone: 9044390003

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.