Individual provider Active NPI

Charlotte A Darnell, MSC, CCC-SLP

  • Speech-Language Pathologist
  • Deland, FL
National Provider Identifier
1649060559
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA21571 Issued in FL
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

Updated by the provider on Apr 1, 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 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

IdentifierTypeStateIssuer
1720953359OtherGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111001451 FL Practitioner - Qualified Speech Language Pathologist 9830680545 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
SA21571FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Heron Therapy Partners LLC Speech-Language Pathologist CurrentSince Nov 1, 2025 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.

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.

Verify at the official NPI Registry.