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Elyssa Male , MS CCC-SLP

Speech-Language Pathologist β€’ St Augustine, FL

Active NPI 1780247650 Individual Practitioner Female Practitioner
Practice location in NPPES

111 Nature Walk Pkwy
St Augustine, FL 320925073

Call 9043287489 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

111 Nature Walk Pkwy

St Augustine, FL 320925073

Telephone 9043287489

NPI first issued

2019

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 St Augustine and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Augustine

0% of these 99 clinicians have the CMS telehealth indicator.

3% of these 99 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: 2026-03-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SZ10088

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

12 Historical Events
πŸ“
Updated Practice Location March 18, 2026

Registered at 111 NATURE WALK PKWY, ST AUGUSTINE, FL 320925073 (Tel: 9043287489)

πŸ“
Updated Business Mailing Address March 18, 2026

Registered at 111 NATURE WALK PKWY, ST AUGUSTINE, FL 320925073 (Tel: 9043287489)

πŸ‘€
Provider Name / Credentials Updated March 18, 2026

Recorded as ELYSSA MALE, M.S. CCC-SLP

πŸ“
Updated Practice Location June 07, 2021

Registered at 56 WATER ST, ST AUGUSTINE, FL 320842887 (Tel: 7273644024)

πŸ“
Updated Business Mailing Address June 07, 2021

Registered at 56 WATER ST, ST AUGUSTINE, FL 320842887 (Tel: 7273644024)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2021

Speech-Language Pathologist (license number reported to NPPES: FL SZ10088)

βœ…
NPI Profile Active April 17, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 17, 2019

Registered at 115 ROTTINGHAM CT STE A, EDWARDSVILLE, IL 620253677 (Tel: 8665222467)

πŸ“
Business Mailing Address (Initial Record) April 17, 2019

Registered at 5220 6TH STREET FRONTAGE RD E STE 1700, SPRINGFIELD, IL 627035771 (Tel: 2175258332)

πŸ‘€
Provider Name / Credentials (Initial Record) April 17, 2019

Recorded as ELYSSA MALE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2019

Behavior Technician (license number reported to NPPES: IN RBT-19-83010)

🟒
Initial NPI Registration & Enumeration April 17, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780247650
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2019
Last Update: March 18, 2026
Sole Proprietor: No

Other Speech-Language Pathologists in St Augustine

Healthcare providers in St Augustine

Mailing Address

111 Nature Walk Pkwy

St Augustine, FL 320925073

Phone: 9043287489

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.