Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417695644 Individual Practitioner Female Practitioner

Alyssa Lynne Fraser , MS CCC SLP

Speech-Language Pathologist • Palatka, FL

Professional Overview & Biography Verified Profile Summary

Alyssa Fraser, MS CCC SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Palatka, FL. Practice services are available at 1301 SAINT JOHNS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1301 Saint Johns Ave

Palatka, FL 321774539

Telephone 3865463379

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Palatka, FL

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

Practicing in Palatka, 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: 2024-10-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA15184

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.

Secondary Practice Locations

106 Eagle Nest Ct

East Palatka, FL 321314166

Phone: 8458666118

Practice Associates & Co-Workers

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

7 Associated Practitioners
Alison Brooks

Physical Therapist

NPI 1003246521
Jesseca Bedenbaugh , MS CF SLP

Speech-Language Pathologist

NPI 1043045719

MSCFSLP

Savannah Hawkins , MS CF-SLP

Speech-Language Pathologist

NPI 1639857188

MSCFSLP

Lindy Smith , MS, CCC-SLP

Speech-Language Pathologist

NPI 1699669903

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1720800253

Physical Therapist, Doctor of Physical Therapy

Katelyn Eckert

Occupational Therapist

NPI 1730951450

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 08, 2024

Registered at 1301 SAINT JOHNS AVE, PALATKA, FL 321774539 (Tel: 3865463379)

📍
Updated Business Mailing Address October 08, 2024

Registered at 106 EAGLE NEST CT, EAST PALATKA, FL 321314166 (Tel: 8458666118)

👤
Provider Name / Credentials Updated October 08, 2024

Recorded as ALYSSA FRASER, MS CCC SLP

NPI Profile Active May 27, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2022

Registered at 150 SOUTHPARK BLVD STE 202, SAINT AUGUSTINE, FL 320865179 (Tel: 8458666118)

📍
Updated Business Mailing Address May 27, 2022

Registered at 164 N PRAIRIE LAKES DR, SAINT AUGUSTINE, FL 320849303 (Tel: 8458666118)

👤
Provider Name / Credentials Updated May 27, 2022

Recorded as ALYSSA BARNES, MS CCC SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2022

Speech-Language Pathologist (License #SA15184 in FL)

🟢
Initial NPI Registration & Enumeration May 26, 2022

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: 1417695644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2022
Last Update: October 08, 2024
Sole Proprietor: No

Mailing Address

106 Eagle Nest Ct

East Palatka, FL 321314166

Phone: 8458666118

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.