Active NPI
Rosangela Ravelo
- Speech-Language Assistant
- Sanford, FL
National Provider Identifier
1023844214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 7242
- Practice address
- 111 E Lake Mary Blvd
Sanford, FL 32773-7111 - Phone
- (407) 326-9683
- NPI assigned
- Sep 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 7242 | FL | Primary |
Addresses
Primary practice location
111 E Lake Mary Blvd
Sanford, FL 32773-7111
Mailing address
1512 Hillway Rd
Apopka, FL 32703-7403
Phone (786) 893-5767
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 |
|---|---|---|---|
| 7242 | FL | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1023844214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 HILLWAY RD",
"city": "APOPKA",
"state": "FL",
"postal_code": "327037403",
"telephone_number": "786-893-5767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E LAKE MARY BLVD",
"city": "SANFORD",
"state": "FL",
"postal_code": "327737111",
"telephone_number": "407-326-9683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVELO",
"first_name": "ROSANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-12",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "7242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.