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Deactivated NPI 1669961751 Deactivated / Inactive NPI Female Practitioner

Jill Mandeville

Specialist/Technologist - Speech-Language Assistant • Lehigh Acres, 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, Jill Mandeville has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 04, 2018
NPI Deactivation Date November 21, 2018
Total Practice Duration ~1 Years of Practice (2018 – 2018)

Professional Overview & Biography Verified Profile Summary

Jill Mandeville was a registered Specialist/Technologist - Speech-Language Assistant practicing in Lehigh Acres, FL. Throughout an active medical career spanning 1 years, Jill Mandeville provided care at the practice location at 5598 8TH ST W UNIT 3 until profile deactivation on 2018-11-21.

Practice Location & Contact Primary Location

Practice Address

5598 8th St W Unit 3

Lehigh Acres, FL 339716341

Telephone 2396749374
Fax 2394913057
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Lehigh Acres, FL

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

Practicing in Lehigh Acres, 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 SI2296

Definition to come...

Practice Associates & Co-Workers

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

27 Associated Practitioners
Taylor Crupper

Occupational Therapy Assistant

NPI 1043670458
Marlene Perez

Specialist/Technologist - Speech-Language Assistant

NPI 1063961688
Martha Cruz

Occupational Therapy Assistant

NPI 1083169684
Lucia Rico

Occupational Therapy Assistant

NPI 1124558432
Yaismelys Gonzalez Romero

Occupational Therapy Assistant

NPI 1205329778
Orelve Guerra

Specialist/Technologist - Speech-Language Assistant

NPI 1215356472

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 21, 2018

Record deactivated on November 21, 2018

NPI Profile Active May 04, 2018

NPI status registered as active in NPPES database

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Updated Practice Location May 04, 2018

Registered at 5598 8TH ST W UNIT 3, LEHIGH ACRES, FL 339716341 (Tel: 2396749374)

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Updated Business Mailing Address May 04, 2018

Registered at 5598 8TH ST W UNIT 3, LEHIGH ACRES, FL 339716341 (Tel: 2396749374)

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Provider Name / Credentials Updated May 04, 2018

Recorded as JILL MANDEVILLE

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2018

Specialist/Technologist (License #SI2296 in FL)

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Initial NPI Registration & Enumeration May 04, 2018

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: 1669961751
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2018
Last Update: May 04, 2018
Deactivation Date: November 21, 2018

Mailing Address

5598 8th St W Unit 3

Lehigh Acres, FL 339716341

Phone: 2396749374

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.