Individual provider Active NPI

Rachel Stricklin, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Pelham, AL
National Provider Identifier
1194210062
Registry record updated Jun 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3641 Issued in AL
Practice address
2490 Pelham Pkwy
Pelham, AL 35124-1319
Phone
(205) 792-9291
NPI assigned
Jun 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2018

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 3641 AL Primary

Addresses

Primary practice location

2490 Pelham Pkwy
Pelham, AL 35124-1319

Mailing address

3425 Wisteria Dr
Vestavia Hills, AL 35216-4862
Phone (205) 792-9291

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3641ALMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529798400000",
    "number": "1194210062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 WISTERIA DR",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352164862",
            "telephone_number": "205-792-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241319",
            "telephone_number": "205-792-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLIN",
        "first_name": "RACHEL",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-24",
        "last_updated": "2018-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.