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Deactivated NPI 1003197385 Deactivated / Inactive NPI Female Practitioner

Camie Larsen , MS CCC-SLP

Speech-Language Pathologist • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Camie Larsen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2011
NPI Deactivation Date November 06, 2020
Total Practice Duration ~9 Years of Practice (2011 – 2020)

Professional Overview & Biography Verified Profile Summary

Camie Larsen, MS CCC-SLP was a registered Speech-Language Pathologist practicing in Jacksonville, FL. Throughout an active medical career spanning 9 years, Camie Larsen provided care at the practice location at 12627 SAN JOSE BLVD STE 506 until profile deactivation on 2020-11-06.

Practice Location & Contact Primary Location

Practice Address

12627 San Jose Blvd Ste 506

Jacksonville, FL 322238641

Telephone 9047010317

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
565 Specialists

Practicing in Jacksonville, FL (11640 Statewide)

Telehealth Adoption Rate
1.6% 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

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

4 Associated Practitioners
Jessica Lunsford

Behavior Technician

NPI 1225890502
Erica Gayden , RBT

Behavior Technician

NPI 1356115026

Registered Behavior Technician

Mar'leesia Crawford

Behavior Analyst

NPI 1669921102
Spencer Carter , BA CSC

Behavior Technician

NPI 1750085841

BACSC

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 06, 2020

Record deactivated on November 06, 2020

NPI Profile Active November 23, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 23, 2011

Registered at 12627 SAN JOSE BLVD STE 506, JACKSONVILLE, FL 322238641 (Tel: 9047010317)

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Updated Business Mailing Address November 23, 2011

Registered at 1562 CANOPY OAKS DR, ORANGE PARK, FL 320654296

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Provider Name / Credentials Updated November 23, 2011

Recorded as CAMIE LARSEN, MS CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2011

Speech-Language Pathologist

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Initial NPI Registration & Enumeration August 31, 2011

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: 1003197385
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2011
Last Update: November 23, 2011
Deactivation Date: November 06, 2020

Mailing Address

1562 Canopy Oaks Dr

Orange Park, FL 320654296

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

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