Active NPI
Charlotte A Darnell, MSC, CCC-SLP
- Speech-Language Pathologist
- Deland, FL
National Provider Identifier
1649060559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA21571
- Practice address
- 200 N Clara Ave
Deland, FL 32720-4207 - Phone
- (321) 578-9673
- NPI assigned
- May 12, 2025
- Sex
- Female
- Sole proprietor
- No
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 | SA21571 | FL | Primary |
Addresses
Primary practice location
200 N Clara Ave
Deland, FL 32720-4207
Mailing address
PO Box 975
De Leon Springs, FL 32130-0975
Phone (386) 675-3390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720953359 | Other | GROUP NPI |
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, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5430 E Ave
De Leon Springs, FL 32130-3461
PO Box
Suite 975
De Leon Springs, FL 32130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA21571 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purple Heron Therapy Partners LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1025 W New York Ave
Ste 4
Deland, FL 32720
Phone (321) 578-9673
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
- Astor, FL
- NPI 1720953359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1649060559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 975",
"city": "DE LEON SPRINGS",
"state": "FL",
"postal_code": "321300975",
"telephone_number": "386-675-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N CLARA AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327204207",
"telephone_number": "321-578-9673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARNELL",
"first_name": "CHARLOTTE",
"middle_name": "A",
"credential": "MSC, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-12",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA21571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1720953359",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.