Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407167877 Individual Practitioner Female Practitioner

Kerry Casper Glidewell , MA CCC-SLP

Speech-Language Pathologist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Kerry Glidewell, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Jacksonville, FL. Practice services are available at 841 PRUDENTIAL DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

841 Prudential Drive
Suite 140

Jacksonville, FL 32207

Telephone 9043460394
Associated Practice Facility / Clinic
🏢 North Florida Home Care, Llc Facility NPI 1932686920

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

State License FL SA 7946

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

11 Associated Practitioners
Jennifer Castillo , PT

Physical Therapist

NPI 1104083898

Physical Therapist

Shelley Liebetrau , MS, CF-SLP

Speech-Language Pathologist

NPI 1134661499

Master of Science, Clinical Fellow in Speech-Language Pathology

Jordan Swain

Speech-Language Pathologist

NPI 1235560038
Grace Horgan , MOT, OTR, L

Occupational Therapist - Pediatrics

NPI 1306104609

Master of Occupational Therapy, Occupational Therapist Registered, L

Prachy Garg , OTR, L

Occupational Therapist

NPI 1407006307

Occupational Therapist Registered, L

Dr. Daniel Plummer , DPT

Physical Therapist

NPI 1497057863

Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 30, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2010

Registered at 841 PRUDENTIAL DRIVE, SUITE 140, JACKSONVILLE, FL 32207 (Tel: 9043460394)

📍
Updated Business Mailing Address June 30, 2010

Registered at 3043 ATHERLEY RD, SAINT AUGUSTINE, FL 320925053 (Tel: 9048851505)

👤
Provider Name / Credentials Updated June 30, 2010

Recorded as KERRY GLIDEWELL, M.A CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2010

Speech-Language Pathologist (License #SA 7946 in FL)

🟢
Initial NPI Registration & Enumeration June 30, 2010

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: 1407167877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2010
Last Update: June 30, 2010
Sole Proprietor: Yes

Mailing Address

3043 Atherley Rd

Saint Augustine, FL 320925053

Phone: 9048851505

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.