SHAVONNE MARISCAL
NPI 1174161681
Speech-Language Pathologist in Palm Bay, FL

Q: What is Shavonne Mariscal's NPI number?

The NPI number for Shavonne Mariscal is 1174161681. It was assigned to this individual provider in the NPPES registry on December 16, 2019.

Q: What is Shavonne Mariscal's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Shavonne Mariscal was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 16, 2019Accepts Medicare Assignment

4680 LIPSCOMB ST NE STE 4, PALM BAY, FL 32905(321) 209-0171 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 7, 2022, May 11, 2022, Dec 16, 2019 (3 updates tracked since 2019).

On this page

About Shavonne Mariscal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAVONNE MARISCAL (NPI 1174161681) is an individual speech-language pathologist provider in Palm Bay, Florida, licensed in Florida (SA11135) and active in the NPI registry since December 2019. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1174161681

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSHAVONNE MARISCAL

Location Address4680 LIPSCOMB ST NE STE 4Palm Bay, FL 32905-2984

Mailing Address405 Guinevere DrPalm Bay, FL 32908-6431

Phone(321) 209-0171

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateDecember 16, 2019

Last NPPES UpdateJuly 7, 20223 updates tracked since enumeration

NPPES CertifiedJuly 7, 2022

✔ NPI 1174161681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in FL · SA11135

Definition

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.

4680 LIPSCOMB ST NE STE 4, Palm Bay, FL 32905

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shavonne Mariscal is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466830963

PECOS Enrollment IDI20220610001983

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROCLAIM COMMUNICATION AND REHABILITATION SERVICES, LLC

Speech-Language Pathologist

4680 LIPSCOMB ST NE STE 4
PALM BAY, FL 32905

Brevard County (321) 209-0171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shavonne Mariscal's NPI number?

The NPI number for Shavonne Mariscal is 1174161681. It was assigned to this individual provider in the NPPES registry on December 16, 2019.

Where is Shavonne Mariscal located?

Shavonne Mariscal practices at 4680 Lipscomb St NE Ste 4, Palm Bay, FL 32905. The listed phone number is (321) 209-0171.

What is Shavonne Mariscal's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Shavonne Mariscal enrolled in Medicare?

Yes. Shavonne Mariscal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shavonne Mariscal was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.