Active NPI
Raquel Elizabeth Nieves
- Speech-Language Pathologist
- Philadelphia, PA
National Provider Identifier
1033022355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- PSL003423
- Practice address
- 4601 W Girard Ave
Philadelphia, PA 19131-4615 - Phone
- (904) 395-4124
- NPI assigned
- Sep 26, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PSL003423 | PA | Primary |
Addresses
Primary practice location
4601 W Girard Ave
Philadelphia, PA 19131-4615
Mailing address
420 Fairview Ave
Yorktown Heights, NY 10598-1704
Phone (914) 299-8204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790380800000",
"number": "1033022355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 FAIRVIEW AVE",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105981704",
"telephone_number": "914-299-8204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 W GIRARD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191314615",
"telephone_number": "904-395-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "RAQUEL",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-26",
"last_updated": "2026-09-26",
"certification_date": "2026-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "PSL003423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.