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Melissa Jean Gillmer , CCC-SLP

Speech-Language Pathologist β€’ Orange Park, FL

Active NPI 1275523094 Individual Practitioner Female Practitioner
Practice location in NPPES

784 Blanding Blvd Ste 108
Orange Park, FL 320657724

Call 9042642636 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

784 Blanding Blvd Ste 108

Orange Park, FL 320657724

Telephone 9042642636
Fax 9045171621
Organization at the Same NPPES Address or Phone
North Florida Therapy Associates, Llc Facility NPI 1891947537

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

NPI first issued

2005

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 Orange Park and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Orange Park

0% of these 47 clinicians have the CMS telehealth indicator.

2.1% of these 47 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: 2020-06-02
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA8670

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.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

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
891070700 (FL)

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 02, 2020

Registered at 784 BLANDING BLVD STE 108, ORANGE PARK, FL 320657724 (Tel: 9042642636)

πŸ“
Updated Business Mailing Address June 02, 2020

Registered at 784 BLANDING BLVD STE 108, ORANGE PARK, FL 320657724 (Tel: 9042642636)

βœ…
NPI Profile Active February 01, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 01, 2018

Registered at 1555 KINGSLEY AVE, SUITE 406, ORANGE PARK, FL 320734560 (Tel: 9042642636)

πŸ“
Updated Business Mailing Address February 01, 2018

Registered at 1555 KINGSLEY AVE, SUITE 406, ORANGE PARK, FL 320734560 (Tel: 9042642636)

πŸ‘€
Provider Name / Credentials Updated February 01, 2018

Recorded as MELISSA GILLMER, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2018

Developmental Therapist

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2018

Speech-Language Pathologist (license number reported to NPPES: FL SA8670)

βœ…
NPI Profile Active August 19, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 19, 2013

Registered at 1555 KINGSLEY AVE, SUITE 406, ORANGE PARK, FL 320734560 (Tel: 9042642636)

πŸ“
Business Mailing Address (Initial Record) August 19, 2013

Registered at 1555 KINGSLEY AVE, SUITE 406, ORANGE PARK, FL 320734560 (Tel: 9042642636)

πŸ‘€
Provider Name / Credentials (Initial Record) August 19, 2013

Recorded as MELISSA GILLMER, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2013

Speech-Language Pathologist (license number reported to NPPES: FL SA8670)

🟒
Initial NPI Registration & Enumeration October 24, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275523094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2005
Last Update: June 02, 2020
Sole Proprietor: Yes

Mailing Address

784 Blanding Blvd Ste 108

Orange Park, FL 320657724

Phone: 9042642636

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.