Individual provider Active NPI

Marlee Elizabeth Potter

  • Speech-Language Pathologist
  • Keystone Heights, FL
National Provider Identifier
1497100986
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA19525 Issued in FL
Practice address
7700 Oak Dr
Keystone Heights, FL 32656-9723
Phone
(904) 505-0847
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2202012242 VA
Developmental Therapist 222Q00000X
Speech-Language Pathologist 235Z00000X SA19525 FL Primary

Addresses

Primary practice location

7700 Oak Dr
Keystone Heights, FL 32656-9723

Mailing address

7700 Oak Dr
Keystone Heights, FL 32656-9723
Phone (904) 505-0847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240510000863 FL Practitioner - Qualified Speech Language Pathologist 3577904358 Reassigns benefits to 1 organization
I20240510001573 TX Practitioner - Qualified Speech Language Pathologist 3577904358 Reassigns benefits to 1 organization
I20250228000424 IN Practitioner - Qualified Speech Language Pathologist 3577904358 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA19525FLMDSpeech-Language Pathologist
2202012242VAMDDevelopmentally Disabled Services Day Training Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Potter Speech & Language Therapy, LLC Speech-Language Pathologist CurrentSince May 29, 2022 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince May 28, 2024 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Feb 19, 2025 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

1251 N Eddy St
Ste 200
South Bend, IN 46617
Phone (219) 286-7258

3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828

363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214

Organizations & group practices 3

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": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1497100986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 OAK DR",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569723",
            "telephone_number": "904-505-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 OAK DR",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569723",
            "telephone_number": "904-505-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "MARLEE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "2202012242",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA19525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keystone Heights, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.