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Khalilah Mignon Marques , SLP

Speech-Language Pathologist β€’ Jacksonville, FL

Active NPI 1932478153 Individual Practitioner Female Practitioner
Practice location in NPPES

9957 Moorings Dr Ste 301
Jacksonville, FL 322572415

Call 9046526165 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

9957 Moorings Dr Ste 301

Jacksonville, FL 322572415

Telephone 9046526165
Fax 8332414607
Organization at the Same NPPES Address or Phone
Fresh Start Speech Therapy Services Llc. Facility NPI 1528591302

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 Brunswick, GA. 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

2011

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)

Khalilah Marques 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 Jacksonville and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

1.6% of these 558 clinicians have the CMS telehealth indicator.

4.8% of these 558 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: 2022-06-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA11658

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 18647

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 GA SLP011016

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

I20220810000008

Enrollment State Jurisdiction

GA

PECOS Control ID

4082981873

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

Secondary Practice Locations

1201 Fountain Park Cir

Brunswick, GA 315204859

Phone: 9128370008

Career & Practice History Timeline

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

14 Historical Events
πŸ“
Updated Practice Location June 18, 2022

Registered at 9957 MOORINGS DR STE 301, JACKSONVILLE, FL 322572415 (Tel: 9046526165)

πŸ“
Updated Business Mailing Address June 18, 2022

Registered at 9957 MOORINGS DR STE 301, JACKSONVILLE, FL 322572415 (Tel: 9046526165)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2022

Speech-Language Pathologist (license number reported to NPPES: CA 18647)

βœ…
NPI Profile Active February 04, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 04, 2017

Registered at 6028 CHESTER AVE, SUITE 109, JACKSONVILLE, FL 322171205 (Tel: 3107499119)

πŸ“
Updated Business Mailing Address February 04, 2017

Registered at 281 DOVEFIELD CT, ORANGE PARK, FL 320731904 (Tel: 3107499119)

πŸ‘€
Provider Name / Credentials Updated February 04, 2017

Recorded as KHALILAH MARQUES, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2017

Speech-Language Pathologist (license number reported to NPPES: FL SA11658)

βœ…
NPI Profile Active November 26, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 26, 2012

Registered at 9526 ARGYLE FOREST BLVD STE B2-415, JACKSONVILLE, FL 322222825 (Tel: 3107499119)

πŸ“
Business Mailing Address (Initial Record) November 26, 2012

Registered at 31094 STRAWBERRY TREE LN, TEMECULA, CA 925924181 (Tel: 3107499119)

πŸ‘€
Provider Name / Credentials (Initial Record) November 26, 2012

Recorded as KHALILAH MARQUES, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2012

Speech-Language Pathologist (license number reported to NPPES: FL SA11658)

🟒
Initial NPI Registration & Enumeration December 16, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1932478153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2011
Last Update: June 18, 2022
Sole Proprietor: Yes

Other Speech-Language Pathologists in Jacksonville

All Speech-Language Pathologists in Jacksonville

Mailing Address

9957 Moorings Dr Ste 301

Jacksonville, FL 322572415

Phone: 9046526165

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.