Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558125476 Individual Practitioner Female Practitioner

Jeannie Villanueva Shields

Speech-Language Pathologist • Pace, FL

Professional Overview & Biography Verified Profile Summary

Jeannie Shields is a registered healthcare professional specializing in Speech-Language Pathologist in Pace, FL. Practice services are available at 4624 SUMMERDALE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4624 Summerdale Blvd

Pace, FL 325711368

Telephone 8509443456
Fax 8509943476

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Pace, FL

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

Practicing in Pace, 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: 2024-03-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA16654

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

9 Associated Practitioners
Raleigh Gamsky , MS CCC-SLP

Speech-Language Pathologist

NPI 1104370295

MSCCCSLP

Lori Corley , OTR, L

Occupational Therapist

NPI 1154887867

Occupational Therapist Registered, L

Melissa Mccoy , OTR L

Occupational Therapist

NPI 1336214949

Occupational Therapist Registered & Licensed

Reghan Schutzmann , OTR, L

Occupational Therapist

NPI 1447060710

Occupational Therapist Registered, L

Marjorie Smith , MS CCC-SLP

Speech-Language Pathologist

NPI 1760402788

MSCCCSLP

Shelby Cotner , MS SLP

Speech-Language Pathologist

NPI 1801119342

MSSLP

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 12, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2024

Registered at 4624 SUMMERDALE BLVD, PACE, FL 325711368 (Tel: 8509443456)

📍
Updated Business Mailing Address February 12, 2024

Registered at 3717 BERRY PATCH LN, PACE, FL 325716327 (Tel: 8502927961)

👤
Provider Name / Credentials Updated February 12, 2024

Recorded as JEANNIE SHIELDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2024

Speech-Language Pathologist (License #SA16654 in FL)

🟢
Initial NPI Registration & Enumeration February 12, 2024

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: 1558125476
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2024
Last Update: March 17, 2024
Sole Proprietor: No

Mailing Address

3717 Berry Patch Ln

Pace, FL 325716327

Phone: 8502927961

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.