Active NPI
Athanasia Svenning
- Speech-Language Pathologist
- Titusville, FL
National Provider Identifier
1154805166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ8826
- Practice address
- 5650 S Washington Ave
Titusville, FL 32780-7312 - Phone
- (321) 268-2797
- NPI assigned
- Sep 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ8826 | FL | Primary |
Addresses
Primary practice location
5650 S Washington Ave
Titusville, FL 32780-7312
Mailing address
2664 SW Bear Paw TRL
Palm City, FL 34990-7941
Phone (772) 631-9845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2664 SW Bear Paw TRL
Palm City, FL 34990-7941
3544 SW Quail Meadow TRL Apt C
Palm City, FL 34990-4649
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ8826 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daley Diagnostics LLC | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Palm City, FL
- NPI 1972270148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1154805166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2664 SW BEAR PAW TRL",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349907941",
"telephone_number": "772-631-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5650 S WASHINGTON AVE",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327807312",
"telephone_number": "321-268-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVENNING",
"first_name": "ATHANASIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-17",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ8826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- 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.
- 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.