1. Home
  2. Directory
  3. Florida
  4. Port Orange
  5. Speech Language Pathologist
  6. NPI Profile

MRS. IVONNE CARMEN RANDOLPH MACCCSLP
NPI 1922148451
Speech-Language Pathologist in Port Orange, FL

Active since February 07, 2007
5791 FALLING TREE LN, PORT ORANGE, FL 32127(407) 595-2710 Get Directions Write a Review

NPPES record last updated: February 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 16, 2025, Oct 15, 2020 (2 updates tracked since 2020).

About Mrs. Ivonne Carmen Randolph Macccslp NPPES

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

MRS. IVONNE CARMEN RANDOLPH MACCCSLP (NPI 1922148451) is an individual speech-language pathologist provider in Port Orange, Florida, licensed in Florida (SA 1206) and active in the NPI registry since February 2007. She maintains a secondary practice location in Deland.

NPPES Registry Identity

NPI1922148451
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. IVONNE CARMEN RANDOLPHCredential: MACCCSLP
Location Address5791 FALLING TREE LNPort Orange, FL 32127-7993
Mailing Address5791 Falling Tree LnPort Orange, FL 32127-7993 · (407) 595-2710
Phone(407) 595-2710
Sole ProprietorYes
Enumeration DateFebruary 7, 2007
Last NPPES UpdateFebruary 16, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2025
✔ NPI 1922148451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA 1206
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.
Also ListedDevelopmental TherapistTaxonomy 222Q00000X
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
5791 FALLING TREE LN, Port Orange, FL 32127
Open in Google Maps ↗

Secondary Practice Location 1

Location 12219 S Woodland BlvdDeland, FL 32720-8628 · Phone (386) 736-9849

Other Identifiers 1

Medicaid884535200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 Ivonne Randolph's NPI number?

The NPI number for Ivonne Randolph is 1922148451. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Ivonne Randolph located?

Ivonne Randolph practices at 5791 Falling Tree Ln, Port Orange, FL 32127. The listed phone number is (407) 595-2710.

What is Ivonne Randolph's specialty?

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

What insurance does Ivonne Randolph accept?

Health plans from Molina Healthcare list Ivonne Randolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivonne Randolph was last updated on February 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.