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Channing Heavenor Creveling , MA CCC-SLP LLC

Speech-Language Pathologist β€’ Clermont, FL

Active NPI 1700805686 Individual Practitioner Female Practitioner
Practice location in NPPES

2400 S Highway 27 Ste B201
Clermont, FL 347116816

Call 3523940212 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2400 S Highway 27 Ste B201

Clermont, FL 347116816

Telephone 3523940212
Fax 3522416361
Organization at the Same NPPES Address or Phone
Central Florida Dreamplex Llc Facility NPI 1952523490

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Orlando, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Clermont and Florida

70 active clinicians are listed under Speech-Language Pathologist with a practice address in Clermont, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Clermont

0% of these 70 clinicians have the CMS telehealth indicator.

2.9% of these 70 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA12781

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NC 6881

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
7412500 (NC)
Medicaid ID
104167600 (FL)

Secondary Practice Locations

5125 Adanson St Ste 750

Orlando, FL 328041327

Phone: 3523940212

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Kristina Shipman , OT

Occupational Therapist

NPI 1598978116

Occupational Therapist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 10, 2020

Registered at 2400 S HIGHWAY 27 STE B201, CLERMONT, FL 347116816 (Tel: 3523940212)

πŸ“
Updated Business Mailing Address October 10, 2020

Registered at 1746 E SILVER STAR RD STE 133, OCOEE, FL 347617014 (Tel: 9105382325)

βœ…
NPI Profile Active August 25, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 25, 2011

Registered at 213 MCQUILLAN DRIVE, WILMINGTON, NC 28412 (Tel: 9105382325)

πŸ“
Business Mailing Address (Initial Record) August 25, 2011

Registered at PO BOX 12333, WILMINGTON, NC 284050110 (Tel: 9105382325)

πŸ‘€
Provider Name / Credentials (Initial Record) August 25, 2011

Recorded as CHANNING CREVELING, MA CCC-SLP LLC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2011

Speech-Language Pathologist (license number reported to NPPES: NC 6881)

🟒
Initial NPI Registration & Enumeration July 19, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700805686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: October 10, 2020
Sole Proprietor: Yes

Mailing Address

1746 E Silver Star Rd Ste 133

Ocoee, FL 347617014

Phone: 9105382325

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.