Mackenzie Elaine Seal

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA21985 Issued in FL

Practice address

1607 NW Federal Hwy
Stuart, FL 34994-9600

Phone

(772) 291-1614

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1104548817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SE CRESTWOOD CIR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977426",
            "telephone_number": "561-427-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 NW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949600",
            "telephone_number": "772-291-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAL",
        "first_name": "MACKENZIE",
        "middle_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA21985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGY",
            "identifier": "SA21985",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Clinicsource",
            "affiliation": "N",
            "address_1": "840 SE Osceola St",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349942432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karyna Scott
• Keondra Scott
• Phyllis Scott
• Caroline Scronce, PHARMD
• SDF Serenity Health Services
• Sadie Rose Searcy
• Seaside Behavioral Health & Wellness Center
• Seaside Family Chiropractic LLC
• Seaside Nutrition Consulting, Inc.
• Angela Seaton, PHD

• Speech-Language Pathologist in Stuart, FL
• Providers in Stuart, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.