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Shelley Forgas Blanco , MS, CCC, SLP

Speech-Language Pathologist β€’ Lutz, FL

Active NPI 1790114429 Individual Practitioner Female Practitioner
Practice location in NPPES

19106 Fishermans Bend Dr
Lutz, FL 335589747

Call 8134010863 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

19106 Fishermans Bend Dr

Lutz, FL 335589747

Telephone 8134010863

NPI first issued

2013

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 Lutz and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lutz

0% of these 43 clinicians have the CMS telehealth indicator.

9.3% of these 43 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA12347

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

Career & Practice History Timeline

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

11 Historical Events
βœ…
NPI Profile Active January 18, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 18, 2018

Registered at 19106 FISHERMANS BEND DR, LUTZ, FL 335589747 (Tel: 8134010863)

πŸ“
Updated Business Mailing Address January 18, 2018

Registered at 19106 FISHERMANS BEND DR, LUTZ, FL 335589747 (Tel: 8134010863)

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

Recorded as SHELLEY BLANCO, M.S., CCC/SLP

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

Speech-Language Pathologist (license number reported to NPPES: FL SA12347)

βœ…
NPI Profile Active November 04, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 04, 2013

Registered at 19106 FISHERMANS BEND DR, LUTZ, FL 335589747 (Tel: 8134010863)

πŸ“
Business Mailing Address (Initial Record) November 04, 2013

Registered at 19106 FISHERMANS BEND DR, LUTZ, FL 335589747 (Tel: 8134010863)

πŸ‘€
Provider Name / Credentials (Initial Record) November 04, 2013

Recorded as SHELLEY FORGAS, M.S., CCC/SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2013

Speech-Language Pathologist (license number reported to NPPES: FL SA12347)

🟒
Initial NPI Registration & Enumeration November 04, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790114429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2013
Last Update: January 18, 2018
Sole Proprietor: Yes

Other Speech-Language Pathologists in Lutz

Healthcare providers in Lutz

Mailing Address

19106 Fishermans Bend Dr

Lutz, FL 335589747

Phone: 8134010863

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.