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Aja Carrillo , SLP

Speech-Language Pathologist β€’ Gulf Breeze, FL

Active NPI 1891923231 Individual Practitioner Female Practitioner
Practice location in NPPES

420 James River Rd
Gulf Breeze, FL 325614867

Call 8313092101 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

420 James River Rd

Gulf Breeze, FL 325614867

Telephone 8313092101
Fax 8772157951
Organization at the Same NPPES Address or Phone
Bright Futures Speech Therapy Facility NPI 1285072504

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 2 distinct additional practice-address records in Mary Esther, FL; Navarre, 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

2009

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

Enrolled in Medicare (PECOS)

Aja Carrillo has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Gulf Breeze and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gulf Breeze

0% of these 14 clinicians have the CMS telehealth indicator.

0% of these 14 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: 2022-07-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA10343

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 CA 32410

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20250227000722

Enrollment State Jurisdiction

OR

PECOS Control ID

3375774474

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

7552 Navarre Pkwy Unit 47

Navarre, FL 325667309

Phone: 8504813114

151 Mary Esther Blvd Unit 504

Mary Esther, FL 325691976

Phone: 8504813114

Career & Practice History Timeline

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

13 Historical Events
πŸ“
Updated Practice Location July 19, 2022

Registered at 420 JAMES RIVER RD, GULF BREEZE, FL 325614867 (Tel: 8313092101)

πŸ“
Updated Business Mailing Address July 19, 2022

Registered at 310 A ST APT 1807, SAN DIEGO, CA 921014314 (Tel: 8504813114)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2022

Speech-Language Pathologist (license number reported to NPPES: CA 32410)

πŸ“
Updated Practice Location December 18, 2018

Registered at 7552 NAVARRE PKWY UNIT 47, NAVARRE, FL 325667309 (Tel: 8504813114)

πŸ“
Updated Business Mailing Address December 18, 2018

Registered at 415 W MORENO ST, PENSACOLA, FL 325012033 (Tel: 8504813114)

πŸ‘€
Provider Name / Credentials Updated December 18, 2018

Recorded as AJA CARRILLO, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2018

Speech-Language Pathologist (license number reported to NPPES: FL SA10343)

βœ…
NPI Profile Active April 12, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 12, 2012

Registered at 541 PALERMO RD, PANAMA CITY, FL 324054810 (Tel: 8504813114)

πŸ“
Business Mailing Address (Initial Record) April 12, 2012

Registered at 541 PALERMO RD, PANAMA CITY, FL 324054810 (Tel: 8504813114)

πŸ‘€
Provider Name / Credentials (Initial Record) April 12, 2012

Recorded as AJA WHATLEY, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2012

Speech-Language Pathologist (license number reported to NPPES: FL SA 10343)

🟒
Initial NPI Registration & Enumeration June 24, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1891923231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2009
Last Update: July 19, 2022
Sole Proprietor: No

Mailing Address

310 A St Apt 1807

San Diego, CA 921014314

Phone: 8504813114

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.