Active NPI
Beth Pastore Rendell
- Speech-Language Pathologist
- Hobe Sound, FL
National Provider Identifier
1154899904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA12354
- Practice address
- 3536 SE Glacier Ter
Hobe Sound, FL 33455-8911 - Phone
- (772) 285-1369
- NPI assigned
- Nov 9, 2018
- Last updated
- Nov 9, 2018
- 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 Pathologist | 235Z00000X | SA12354 | FL | Primary |
Addresses
Primary practice location
3536 SE Glacier Ter
Hobe Sound, FL 33455-8911
Mailing address
3536 SE Glacier Ter
Hobe Sound, FL 33455-8911
Phone (177) 222-3251
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 |
|---|---|---|---|
| SA12354 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1154899904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3536 SE GLACIER TER",
"city": "HOBE SOUND",
"state": "FL",
"postal_code": "334558911",
"telephone_number": "177-222-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3536 SE GLACIER TER",
"city": "HOBE SOUND",
"state": "FL",
"postal_code": "334558911",
"telephone_number": "772-285-1369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDELL",
"first_name": "BETH",
"middle_name": "PASTORE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-09",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA12354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hobe Sound, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.