Individual provider Active NPI

Destiny Michelle Culbertson

  • Speech-Language Pathologist
  • Titusville, FL
National Provider Identifier
1255022307
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ11223 Issued in FL
Practice address
2625 Barna Ave Ste H
Titusville, FL 32780-3417
Phone
(321) 362-4099
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ11223 FL Primary

Addresses

Primary practice location

2625 Barna Ave Ste H
Titusville, FL 32780-3417

Mailing address

1413 SW Sudder Ave
Port Saint Lucie, FL 34953-1424
Phone (772) 418-1568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SZ11223FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speechwise Therapy LLC Speech-Language Pathologist CurrentSince Apr 28, 2024 Accepting new patients

Locations

2625 Barna Ave
Ste H
Titusville, FL 32780
Phone (321) 362-4099

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.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1255022307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 SW SUDDER AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531424",
            "telephone_number": "772-418-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 BARNA AVE STE H",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327803417",
            "telephone_number": "321-362-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBERTSON",
        "first_name": "DESTINY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11223",
            "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 Jun 19, 2026; 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.