Active NPI
Rachel Kathleen Cardaci
- Speech-Language Pathologist
- Saint Louis, MO
National Provider Identifier
1003324476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2023030116
- Practice address
- 801 N 11TH St
Saint Louis, MO 63101-1015 - Phone
- (314) 633-5300
- NPI assigned
- Jan 18, 2018
- Last updated
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1440133039 | VT | |
| Speech-Language Pathologist | 235Z00000X | 28025 | CA | |
| Speech-Language Pathologist | 235Z00000X | 7100 | CT | |
| Speech-Language Pathologist | 235Z00000X | 2023030116 | MO | Primary |
| Speech-Language Pathologist | 235Z00000X | 77049-SP-SL | MA |
Addresses
Primary practice location
801 N 11TH St
Saint Louis, MO 63101-1015
Mailing address
407 Brunswick Dr Apt 2
Troy, NY 12180-6639
Other practice location 1
325 North St
Bennington, VT 05201-1937
Phone (802) 442-6353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28025 | CA | MD | Speech-Language Pathologist |
| 7100 | CT | MD | Speech-Language Pathologist |
| 77049-SP-SL | MA | MD | Speech-Language Pathologist |
| 2023030116 | MO | MD | Speech-Language Pathologist |
| 1440133039 | VT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shipyard Speech LLC | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Voluntown, CT
- NPI 1760164594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1003324476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 BRUNSWICK DR APT 2",
"city": "TROY",
"state": "NY",
"postal_code": "121806639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N 11TH ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631011015",
"telephone_number": "314-633-5300"
}
],
"practiceLocations": [
{
"address_1": "325 North St",
"address_purpose": "LOCATION",
"city": "Bennington",
"state": "VT",
"postal_code": "052011937",
"country_code": "US",
"telephone_number": "802-442-6353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDACI",
"first_name": "RACHEL",
"middle_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VT",
"license": "1440133039",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "28025",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "7100",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2023030116",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "77049-SP-SL",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.