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Alyssa Lynne Fraser , MS CCC SLP

Speech-Language Pathologist β€’ Palatka, FL

Active NPI 1417695644 Individual Practitioner Female Practitioner
Practice location in NPPES

1301 Saint Johns Ave
Palatka, FL 321774539

Call 3865463379 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

1301 Saint Johns Ave

Palatka, FL 321774539

Telephone 3865463379
Other Listings in Public Data

NPPES lists 1 additional practice-address record in East Palatka, 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

2022

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 Palatka and Florida

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

Addresses are self-reported to NPPES and may be out of date.

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: 2024-10-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA15184

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

Secondary Practice Locations

106 Eagle Nest Ct

East Palatka, FL 321314166

Phone: 8458666118

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location October 08, 2024

Registered at 1301 SAINT JOHNS AVE, PALATKA, FL 321774539 (Tel: 3865463379)

πŸ“
Updated Business Mailing Address October 08, 2024

Registered at 106 EAGLE NEST CT, EAST PALATKA, FL 321314166 (Tel: 8458666118)

πŸ‘€
Provider Name / Credentials Updated October 08, 2024

Recorded as ALYSSA FRASER, MS CCC SLP

βœ…
NPI Profile Active May 27, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 27, 2022

Registered at 150 SOUTHPARK BLVD STE 202, SAINT AUGUSTINE, FL 320865179 (Tel: 8458666118)

πŸ“
Business Mailing Address (Initial Record) May 27, 2022

Registered at 164 N PRAIRIE LAKES DR, SAINT AUGUSTINE, FL 320849303 (Tel: 8458666118)

πŸ‘€
Provider Name / Credentials (Initial Record) May 27, 2022

Recorded as ALYSSA BARNES, MS CCC SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2022

Speech-Language Pathologist (license number reported to NPPES: FL SA15184)

🟒
Initial NPI Registration & Enumeration May 26, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417695644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2022
Last Update: October 08, 2024
Sole Proprietor: No

Mailing Address

106 Eagle Nest Ct

East Palatka, FL 321314166

Phone: 8458666118

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.