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Active NPI 1801192752 Individual Practitioner Female Practitioner

Khadeisha Kashema Samuels , MS, CCC-SLP

Speech-Language Pathologist • Winter Haven, FL

Professional Overview & Biography Verified Profile Summary

Khadeisha Samuels, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Winter Haven, FL. Practice services are available at 790 6TH ST NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

790 6th St Nw

Winter Haven, FL 338814013

Telephone 8632298319
Associated Practice Facility / Clinic
🏢 Baby Steps, Inc. Facility NPI 1619000387

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Winter Haven, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
53 Specialists

Practicing in Winter Haven, 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 SZ 5049

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

Commercial Insurance / Payer ID Provisional Speech-Language Pathologist
SZ 5049 (FL)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Melissa Lievano-Gomes , MS SLP

Speech-Language Pathologist

NPI 1437399839

MSSLP

Susan Rega

Occupational Therapist

NPI 1760606826

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 09, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2011

Registered at 790 6TH ST NW, WINTER HAVEN, FL 338814013 (Tel: 8632298319)

📍
Updated Business Mailing Address February 09, 2011

Registered at 790 6TH ST NW, WINTER HAVEN, FL 338814013 (Tel: 8632298319)

👤
Provider Name / Credentials Updated February 09, 2011

Recorded as KHADEISHA SAMUELS, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2011

Speech-Language Pathologist (License #SZ 5049 in FL)

🟢
Initial NPI Registration & Enumeration February 09, 2011

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: 1801192752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2011
Last Update: February 09, 2011
Sole Proprietor: Yes

Mailing Address

790 6th St Nw

Winter Haven, FL 338814013

Phone: 8632298319

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.