Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679886543 Individual Practitioner Female Practitioner

Natalie Nicole Mikkelson , SLP, CCC

Speech-Language Pathologist • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Natalie Mikkelson, SLP, CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Tampa, FL. Practice services are available at 4202 E FOWLER AVE STOP PCD1017 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4202 E Fowler Ave Stop Pcd1017

Tampa, FL 336207250

Telephone 8139742201
Associated Practice Facility / Clinic
🏢 University Of South Florida Facility NPI 1659681021

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
644 Specialists

Practicing in Tampa, FL (11640 Statewide)

Telehealth Adoption Rate
1.7% 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 SA11318

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
002313000 (FL)
Commercial Insurance / Payer ID Blue Cross Blue Shield
Y911W (FL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003071713

Doctor of Medicine (M.D.)

Dr. Steven Ford , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1003108614

Doctor of Medicine (M.D.)

Dr. Nicholas Wagner , MD

Student in an Organized Health Care Education/Training Program

NPI 1003583642

Doctor of Medicine (M.D.)

Dr. Michael Cisneros , MD

Student in an Organized Health Care Education/Training Program

NPI 1003619784

Doctor of Medicine (M.D.)

Lidia Lopez

Student in an Organized Health Care Education/Training Program

NPI 1003668419
Dr. Natalie Bales , MD

Student in an Organized Health Care Education/Training Program

NPI 1003668450

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 29, 2019

Registered at 4202 E FOWLER AVE STOP PCD1017, TAMPA, FL 336207250 (Tel: 8139742201)

📍
Updated Business Mailing Address August 29, 2019

Registered at PO BOX 917770, ORLANDO, FL 328910001

NPI Profile Active June 09, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2014

Registered at 13101 BRUCE B DOWNS BLVD, TAMPA, FL 336123803 (Tel: 8139740602)

📍
Updated Business Mailing Address June 09, 2014

Registered at P.O. BOX 917770, TAMPA, FL 328917770

👤
Provider Name / Credentials Updated June 09, 2014

Recorded as NATALIE MIKKELSON, SLP/CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2014

Speech-Language Pathologist (License #SA11318 in FL)

🟢
Initial NPI Registration & Enumeration July 21, 2010

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: 1679886543
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2010
Last Update: August 29, 2019
Sole Proprietor: No

Mailing Address

Po Box 917770

Orlando, FL 328910001

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.