Gloria Soraya Schutte-Powell, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5950 Issued in FL

Practice address

13337 Fossick Rd
Windermere, FL 34786-7310

Phone

(407) 590-8334

NPI assigned

Jun 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Gloria Soraya Jerroldine Powell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1962029496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13337 FOSSICK RD",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867310",
            "telephone_number": "407-590-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13337 FOSSICK RD",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867310",
            "telephone_number": "407-590-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTTE-POWELL",
        "first_name": "GLORIA",
        "middle_name": "SORAYA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP29990",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116587",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "POWELL",
            "middle_name": "SORAYA JERROLDINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kyra Alis Russo, M.S. CCC-SLP
• Randall Thomas Rust, MD
• Sanghamitra Sadhu, MD
• Mbarek Salhi, RN
• Claribel Sanchez Pina
• Andrew Joseph Schweitzer, LAT, ATC
• Regina Shanese Scott, ARNP-BC
• Christopher N Seppi, D.D.S
• Armaan Shaikh
• Reenal Sharma, O.D.

• Speech-Language Pathologist in Windermere, FL
• Providers in Windermere, 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 Jun 30, 2020; 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.