MRS. CYNTHIA S. CONKLIN (M.S, CCC/SLP) – Speech-Language Pathologist, NPI 1639366982

MRS. CYNTHIA S. CONKLIN (M.S, CCC/SLP) is a healthcare provider. based in Summerfield, Florida. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.S, CCC/SLP. They hold a License No. SA 8825 (FL). The NPI Number for MRS. CYNTHIA S. CONKLIN (M.S, CCC/SLP) is 1639366982

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CYNTHIA S. CONKLIN (M.S, CCC/SLP)
NPI
1639366982
Phone
(352) 787-9300
Address
14575 SE 90TH AVE
Enumeration Date
1 October 2007
Last Update Date
1 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3527516005
Graduation Year
2005 (21 years ago)
PAC ID
3274835319
Group Practice PAC ID
6800705062
Professional Enrollment ID
I20160107000461
Address ID
FL321598954LA13940441X501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

570 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in FL

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Provider Addresses for MRS. CYNTHIA S. CONKLIN (M.S, CCC/SLP)

  • 14575 SE 90TH AVE

    SUMMERFIELD, FL 344913410

    Phone: (352) 787-9300

    Type: Mailing

  • 600, North Boulevard, Leesburg, Lake County, Florida, 34748, United States

    SUITE D

    LEESBURG, FL 347485063

    Phone: (352) 787-9300

    Type: Location

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: 2016-01-07

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
I20160107000461IQualified 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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 34491)

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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: 6800705062View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL

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Frequently asked questions

How do I look up MRS. CYNTHIA S. CONKLIN (M.S, CCC/SLP) by NPI?
Use NPI 1639366982 when you need to reference MRS. CYNTHIA S. CONKLIN (M.S, CCC/SLP) in forms, claims, or directories.
Does this profile mean MRS. CYNTHIA S. CONKLIN (M.S, CCC/SLP) is currently active?
Yes — MRS. CYNTHIA S. CONKLIN (M.S, CCC/SLP) appears active in the national provider directory.
What kind of provider is MRS. CYNTHIA S. CONKLIN (M.S, CCC/SLP)?
The page reflects Speech-Language Pathologist for MRS. CYNTHIA S. CONKLIN (M.S, CCC/SLP). Clinical services aligned with this taxonomy classification.
Where is MRS. CYNTHIA S. CONKLIN (M.S, CCC/SLP)'s primary listing?
We display Summerfield, Florida because that is what the record indicates for MRS. CYNTHIA S. CONKLIN (M.S, CCC/SLP).
How can I contact MRS. CYNTHIA S. CONKLIN (M.S, CCC/SLP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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