Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174161681 Individual Practitioner Female Practitioner

Shavonne Mariscal

Speech-Language Pathologist • Palm Bay, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shavonne Mariscal is a certified Speech-Language Pathologist practicing in Palm Bay, FL. With approximately 16 years of clinical experience since completing medical education in 2010, Shavonne Mariscal delivers high-quality medical care to the local community at 4680 LIPSCOMB ST NE STE 4.

Shavonne Mariscal accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4680 Lipscomb St Ne Ste 4

Palm Bay, FL 329052984

Telephone 3212090171
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Palm Bay, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs +4.3 yrs vs City Avg
City Avg: 11.7 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
24 Specialists

Practicing in Palm Bay, FL (11640 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mariscal (16 Years) 16 Yrs
Palm Bay Specialty Average (11.7 Years) 11.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-07-07
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA11135

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 July 07, 2022

Registered at 4680 LIPSCOMB ST NE STE 4, PALM BAY, FL 329052984 (Tel: 3212090171)

📍
Updated Practice Location May 11, 2022

Registered at 405 GUINEVERE DR, PALM BAY, FL 329086431 (Tel: 6892301008)

📍
Updated Business Mailing Address May 11, 2022

Registered at 405 GUINEVERE DR, PALM BAY, FL 329086431

NPI Profile Active December 16, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2019

Registered at 201 N CLYDE MORRIS BLVD STE 320, DAYTONA BEACH, FL 321142724 (Tel: 3862367017)

📍
Updated Business Mailing Address December 16, 2019

Registered at 3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 322164312

👤
Provider Name / Credentials Updated December 16, 2019

Recorded as SHAVONNE MARISCAL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2019

Speech-Language Pathologist (License #SA11135 in FL)

🟢
Initial NPI Registration & Enumeration December 16, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Shavonne Mariscal. Be the first to share your experience!

Sign in to leave a review for Shavonne Mariscal

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1174161681
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2019
Last Update: July 07, 2022
Sole Proprietor: No

Mailing Address

405 Guinevere Dr

Palm Bay, FL 329086431

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.