MISS CAROLINE ANNE WALTERS (MA CCC SLP) – Speech-Language Pathologist, NPI 1306056627

MISS CAROLINE ANNE WALTERS (MA CCC SLP) is a healthcare provider. based in Bonita springs, Florida. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MA CCC SLP. They hold a License No. SA 7206 (FL). The NPI Number for MISS CAROLINE ANNE WALTERS (MA CCC SLP) is 1306056627

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MISS CAROLINE ANNE WALTERS (MA CCC SLP)
NPI
1306056627
Phone
(239) 333-3900
Address
9510 BONITA BEACH RD SE
Enumeration Date
23 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2394013144
Graduation Year
2000 (26 years ago)
PAC ID
5991225815
Group Practice PAC ID
9133624554
Professional Enrollment ID
I20250224000200
Address ID
FL341142503NA8480XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

570 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in FL

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Provider Addresses for MISS CAROLINE ANNE WALTERS (MA CCC SLP)

  • 9510, Bonita Beach Road Southeast, Palmesta, Bonita Springs, Lee County, Florida, 34135, United States

    SUITE 102

    BONITA SPRINGS, FL 341354699

    Phone: (239) 333-3900

    Type: Location

  • 1170, Partridge Lane, Berkshire Lakes, East Naples, Collier County, Florida, 34104, United States

    #201

    NAPLES, FL 341048850

    Phone: (239) 877-4014

    Fax: (239) 455-6929

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250224000200IQualified Speech Language PathologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34135)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133624554View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeNY

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Frequently asked questions

What NPI should I save for MISS CAROLINE ANNE WALTERS (MA CCC SLP)?
Save NPI 1306056627 if you need a stable reference for MISS CAROLINE ANNE WALTERS (MA CCC SLP).
Is MISS CAROLINE ANNE WALTERS (MA CCC SLP)'s NPI currently valid?
The extract we use shows MISS CAROLINE ANNE WALTERS (MA CCC SLP) as active.
Can you summarize MISS CAROLINE ANNE WALTERS (MA CCC SLP)'s specialty in plain language?
Clinically, the directory lists MISS CAROLINE ANNE WALTERS (MA CCC SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where does public data place MISS CAROLINE ANNE WALTERS (MA CCC SLP)?
The snapshot lists Bonita Springs, Florida for MISS CAROLINE ANNE WALTERS (MA CCC SLP); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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