Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710921234 Individual Practitioner Female Practitioner

Nicole Z Russo , CCC-SLP

Speech-Language Pathologist • Groveland, FL

Professional Overview & Biography Verified Profile Summary

Nicole Russo, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Groveland, FL. Practice services are available at 577 BLUE CYPRESS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

577 Blue Cypress Dr

Groveland, FL 347368111

Telephone 8436552665

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Groveland, FL

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

Practicing in Groveland, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA10268

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
SA0624 (SC)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active November 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2017

Registered at 577 BLUE CYPRESS DR, GROVELAND, FL 347368111 (Tel: 8436552665)

📍
Updated Business Mailing Address November 27, 2017

Registered at 577 BLUE CYPRESS DR, GROVELAND, FL 347368111 (Tel: 8436552665)

👤
Provider Name / Credentials Updated November 27, 2017

Recorded as NICOLE RUSSO, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2017

Speech-Language Pathologist (License #SA10268 in FL)

NPI Profile Active March 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2011

Registered at 2877 COLUMBUS AVE, CLERMONT, FL 347158198 (Tel: 8436552665)

📍
Updated Business Mailing Address March 10, 2011

Registered at 2877 COLUMBUS AVE, CLERMONT, FL 347158198 (Tel: 8436552665)

👤
Provider Name / Credentials Updated March 10, 2011

Recorded as NICOLE RUSSO, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2011

Speech-Language Pathologist (License #SA10268 in FL)

🟢
Initial NPI Registration & Enumeration June 15, 2006

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: 1710921234
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: November 27, 2017
Sole Proprietor: Yes

Mailing Address

577 Blue Cypress Dr

Groveland, FL 347368111

Phone: 8436552665

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.