Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1407173594 Deactivated / Inactive NPI Female Practitioner

Marilyn Eaton Bosworth , MS, CCC

Speech-Language Pathologist • Ponte Vedra Beach, FL

⚠️

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, Marilyn Bosworth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 28, 2010
NPI Deactivation Date October 16, 2025
Total Practice Duration ~15 Years of Practice (2010 – 2025)

Professional Overview & Biography Verified Profile Summary

Marilyn Bosworth, MS, CCC was a registered Speech-Language Pathologist practicing in Ponte Vedra Beach, FL. Throughout an active medical career spanning 15 years, Marilyn Bosworth provided care at the practice location at 105 ALSACE CT until profile deactivation on 2025-10-16.

Practice Location & Contact Primary Location

Practice Address

105 Alsace Ct

Ponte Vedra Beach, FL 320822950

Telephone 9042738266
Associated Practice Facility / Clinic
🏢 Marilyn Bosworth, Slp Facility NPI 1649647900

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Ponte Vedra Beach, FL

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

Practicing in Ponte Vedra Beach, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL 3699891

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

7 Historical Events
⚠️
NPI Profile Deactivated October 16, 2025

Record deactivated on October 16, 2025

NPI Profile Active April 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2010

Registered at 105 ALSACE CT, PONTE VEDRA BEACH, FL 320822950 (Tel: 9042738266)

📍
Updated Business Mailing Address April 28, 2010

Registered at 105 ALSACE CT, PONTE VEDRA BEACH, FL 320822950 (Tel: 9042738266)

👤
Provider Name / Credentials Updated April 28, 2010

Recorded as MARILYN BOSWORTH, MS, CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2010

Speech-Language Pathologist (License #3699891 in FL)

🟢
Initial NPI Registration & Enumeration April 28, 2010

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 Marilyn Bosworth. Be the first to share your experience!

Sign in to leave a review for Marilyn Bosworth

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

NPI Administrative Meta

NPI Number: 1407173594
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2010
Last Update: April 28, 2010
Deactivation Date: October 16, 2025

Mailing Address

105 Alsace Ct

Ponte Vedra Beach, FL 320822950

Phone: 9042738266

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.