Shavonne Mariscal
NPI 1174161681 · Speech-Language Pathologist · Palm Bay, FL
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shavonne Mariscal is a Speech-Language Pathologist provider in Palm Bay, FL (NPI 1174161681).
Provider details
- NPI number
- 1174161681
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- SA11135 (FL)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-12-16
- Last updated
- 2022-07-07
- Certified
- 2022-07-07
Frequently asked questions
- What is Shavonne Mariscal's NPI number?
- Shavonne Mariscal's National Provider Identifier (NPI) is 1174161681, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shavonne Mariscal's specialty?
- Shavonne Mariscal is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Shavonne Mariscal located?
- Shavonne Mariscal's practice location on file with NPPES is 4680 Lipscomb St Ne Ste 4, Palm Bay, FL 32905-2984.
- What is Shavonne Mariscal's phone number?
- The practice phone number listed in the NPPES registry for Shavonne Mariscal is (321) 209-0171.
- Does Shavonne Mariscal accept Medicare?
- Shavonne Mariscal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shavonne Mariscal's NPI active?
- Yes — Shavonne Mariscal's NPI (1174161681) is active in the NPPES registry as of the last update on 2022-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.