Individual provider Active NPI

Rhonda Kay Drawdy

  • Speech-Language Pathologist
  • Fort Pierce, FL
National Provider Identifier
1154578664
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA7608 Issued in ZZ
Practice address
7664 Germany Canal Rd
Fort Pierce, FL 34987-3300
Phone
(772) 461-9954
Fax
(771) 461-9954
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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 SA7608 ZZ Primary

Addresses

Primary practice location

7664 Germany Canal Rd
Fort Pierce, FL 34987-3300

Mailing address

7664 Germany Canal Rd
Fort Pierce, FL 34987-3300
Phone (772) 461-9954

Other identifiers 1

IdentifierTypeStateIssuer
889862600MedicaidFL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA7608ZZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Therapies Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1154578664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7664 GERMANY CANAL RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349873300",
            "telephone_number": "772-461-9954",
            "fax_number": "771-461-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7664 GERMANY CANAL RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349873300",
            "telephone_number": "772-461-9954",
            "fax_number": "771-461-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAWDY",
        "first_name": "RHONDA",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ZZ",
            "license": "SA7608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889862600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.