Cassidy Carlson, MS CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ10480 Issued in FL

Practice address

255 SE 7TH Ave Ste 2
Crystal River, FL 34429-4848

Phone

(352) 795-4114

Fax

(352) 563-2438

NPI assigned

Feb 25, 2022

Last updated

Feb 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Central Florida Clinic for Rehabilitation

  • Rehabilitation Clinic/Center
  • Crystal River, FL
  • NPI 1225189525

  Speech-Language Pathologist

  NPD
• Nosky P.a.

  dba Day Star Skin and Cancer Center

  • Dermatology Physician
  • Poinciana, FL
  • NPI 1609215912
  NPD (past)

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1356097562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SE 7TH AVE STE 2",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294848",
            "telephone_number": "352-795-4114",
            "fax_number": "352-563-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SE 7TH AVE STE 2",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294848",
            "telephone_number": "352-795-4114",
            "fax_number": "352-563-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "CASSIDY",
        "credential": "MS CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cfcrcitrus@cfcrcitrus.fl-hie.net",
            "affiliation": "Y",
            "endpointDescription": "Direct Webmail",
            "affiliationName": "Central Florida Clinic for Rehabilitation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "255 SE 7th Ave Ste 2",
            "city": "Crystal River",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344294848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Shayne Canter
• Steven Marc Capps, ARNP
• Care Clinic, Inc
• Care One Orthotics LLC
• Carebuddy of Marion County FL LLC
• Caitlin Halley Carroll, PA-C
• Kendal Suzanne Carroll
• Mary Puckett Carroll, RPH
• Joel Proctor Carter
• Rachel Caudill, COTA

• Speech-Language Pathologist in Crystal River, FL
• Providers in Crystal River, 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 Feb 25, 2022; 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.