Gina R Marler, MED CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA4901 Issued in FL

Practice address

609 5TH Street SW Suite 3
Live Oak, FL 32064

Phone

(386) 362-8580

Fax

(888) 841-9040

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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 and National Provider Directory roles.

• GC Therapy Lake City, Inc

  • Speech-Language Pathologist
  • Lake City, FL
  • NPI 1942908686
  NPD
• Speech Therapy Options, PLLC

  • Speech-Language Pathologist
  • Live Oak, FL
  • NPI 1508418351
  NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1568512291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 OHIO AVE N UNIT 177",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320647960",
            "telephone_number": "386-397-4883",
            "fax_number": "888-841-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 5TH STREET SW SUITE 3",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "32064",
            "telephone_number": "386-362-8580",
            "fax_number": "888-841-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLER",
        "first_name": "GINA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MED CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5079",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13817",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884661800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "S2717",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LT Pro Health Care Solutions
• Kathy Lumpkins
• Judith Elaine Lynch, RD, PA
• James Dallas Malone
• Herbert C Mantooth, D.D.S.
• Vicente Manuel Martinez Cardenas, PNP-BC, ARNP
• Shellie Christina May, M.ED.
• Loreen McCloud
• Francis Eileen McCowan, LMHC
• Felicia Cherry McDaniel

• Speech-Language Pathologist in Live Oak, FL
• Providers in Live Oak, 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 May 17, 2024; 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.