Individual provider Active NPI

Lourdes Hernandez de la Rosa, SLP

  • Speech-Language Pathologist
  • Lake Worth, FL
National Provider Identifier
1124439138
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14961 Issued in FL
Practice address
4170 Foss Rd
Lake Worth, FL 33461-4406
Phone
(502) 416-8485
NPI assigned
May 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA14961 FL Primary

Addresses

Primary practice location

4170 Foss Rd
Lake Worth, FL 33461-4406

Mailing address

4170 Foss Rd
Lake Worth, FL 33461-4406
Phone (502) 416-8485

Other identifiers 1

IdentifierTypeStateIssuer
016131900MedicaidFL

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

LicenseStateTypeSpecialty
SA14961FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Discovering Words LLC CurrentSince May 11, 2025 Accepting new patients
Wee Playtherapy PLLC Speech-Language Pathologist PastSince Nov 9, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1124439138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 FOSS RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614406",
            "telephone_number": "502-416-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 FOSS RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614406",
            "telephone_number": "502-416-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ DE LA ROSA",
        "first_name": "LOURDES",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016131900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.