IndividualActive
Elizabeth Shidemantle, BS MS CAC
NPI 1821689985 · Rehabilitation Counselor · Melbourne, FL
Provider details
- NPI number
- 1821689985
- Entity type
- Individual
- Primary specialty
- Rehabilitation CounselorRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- BS MS CAC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% 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
1600 Sarno Rd Ste 3
Melbourne, FL 32935-4992
Phone: (321) 622-6290
Street-level locationGet directions
Mailing address
105 W Seminole Ave Apt 1
Melbourne, FL 32901-2933
Registry dates
- Enumerated
- 2021-02-01
- Last updated
- 2021-02-01
- Certified
- 2021-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.