Individual provider Active NPI

Carol Winchester, MS SLP CCC

  • Speech-Language Pathologist
  • Sarasota, FL
National Provider Identifier
1083849137
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA2829 Issued in FL
Practice address
5763 Wilena PL
Sarasota, FL 34238-1710
Phone
(941) 320-8930
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA2829 FL Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

5763 Wilena PL
Sarasota, FL 34238-1710

Mailing address

5763 Wilena PL
Sarasota, FL 34238-1710
Phone (941) 320-8930

Other practice location 1

5763 Wilena Pl
Sarasota, FL 34238-1710
Phone (941) 402-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090916000539 FL Practitioner - Qualified Speech Language Pathologist 0446306468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dysphagia Management Systems, LLCGroup PAC ID 4385920040, 3 clinicians

Practice addresses (Care Compare)

1885 Porter Lake Dr
Sarasota, FL 34240-7893
Phone (941) 320-8930

5763 Wilena Place
Sarasota, FL 34238-1710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA2829FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dysphagia Management Systems, LLC Hearing and Speech CurrentSince Nov 16, 2012 Accepting new patients
Dysphagia Management Systems, LLC Speech-Language Pathologist Current Accepting new patients

Locations

1885 Porter Lake Dr
#D
Sarasota, FL 34240

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1083849137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5763 WILENA PL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342381710",
            "telephone_number": "941-320-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5763 WILENA PL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342381710",
            "telephone_number": "941-320-8930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5763 Wilena Pl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342381710",
            "country_code": "US",
            "telephone_number": "941-402-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINCHESTER",
        "first_name": "CAROL",
        "credential": "MS SLP CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA2829",
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.