Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306982178 Individual Practitioner Female Practitioner

Carrie E Frederick , MS, CCC-SLP

Speech-Language Pathologist • Lakeland, FL

Professional Overview & Biography Verified Profile Summary

Carrie Frederick, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Lakeland, FL. Practice services are available at 1619 HARDEN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1619 Harden Blvd

Lakeland, FL 338031826

Telephone 8638081970
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lakeland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
123 Specialists

Practicing in Lakeland, 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: 2023-10-16
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA7712

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.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 16, 2023

Registered at 1619 HARDEN BLVD, LAKELAND, FL 338031826 (Tel: 8638081970)

📍
Updated Business Mailing Address October 16, 2023

Registered at 1619 HARDEN BLVD, LAKELAND, FL 338031826 (Tel: 8638081790)

👤
Provider Name / Credentials Updated October 16, 2023

Recorded as CARRIE FREDERICK, M.S., CCC-SLP

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3310 LAKELAND HILLS BLVD, LAKELAND, FL 338051974 (Tel: 8638026600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3181 FORT SOCRUM VILLAGE BLVD, LAKELAND, FL 338100331 (Tel: 8638026600)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CARRIE EDMUNDS, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SA7712 in FL)

🟢
Initial NPI Registration & Enumeration January 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1306982178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2007
Last Update: October 16, 2023
Sole Proprietor: Yes

Mailing Address

1619 Harden Blvd

Lakeland, FL 338031826

Phone: 8638081790

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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