Individual provider Active NPI

Rebecca Vaughan-Darwish, SPEECH LANGUAGE PATH

  • Speech-Language Pathologist
  • Dunedin, FL
National Provider Identifier
1265653307
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
000963 Issued in FL
Practice address
1415 Main St Lot 117
Dunedin, FL 34698-6215
Phone
(407) 421-3463
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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 000963 FL Primary

Addresses

Primary practice location

1415 Main St Lot 117
Dunedin, FL 34698-6215

Mailing address

1415 Main St Lot 117
Dunedin, FL 34698-6215
Phone (407) 421-3463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV, WV, MT4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230210001331 FL Practitioner - Qualified Speech Language Pathologist 7517339963 Reassigns benefits to 1 organization
I20230724003690 NV Practitioner - Qualified Speech Language Pathologist 7517339963 Reassigns benefits to 1 organization
I20240424002195 WV Practitioner - Qualified Speech Language Pathologist 7517339963 Reassigns benefits to 1 organization
I20250221001223 MT Practitioner - Qualified Speech Language Pathologist 7517339963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of Florida College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elovee Therapy Services PAGroup PAC ID 2668843962, 6 clinicians

Practice addresses (Care Compare)

204 8TH St
Marlinton, WV 24954-1031
Phone (844) 535-6833

3010 Santa Fe CT
FL 1
Missoula, MT 59808-1730
Phone (844) 535-6833

6605 Grand Montecito Pkwy
Suite 100
Las Vegas, NV 89149-0210
Phone (844) 535-6833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000963FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elovee Therapy Services, P.a. Speech-Language Pathologist CurrentSince Dec 1, 2022 Accepting new patients

Locations

400 N Tampa St
Fl 15
Tampa, FL 33602
Phone (844) 435-6833

3010 Santa Fe Ct
Missoula, MT 59808
Phone (406) 219-7233

204 8th St
Marlinton, WV 24954
Phone (202) 803-7979

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1265653307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MAIN ST LOT 117",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986215",
            "telephone_number": "407-421-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MAIN ST LOT 117",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986215",
            "telephone_number": "407-421-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN-DARWISH",
        "first_name": "REBECCA",
        "credential": "SPEECH LANGUAGE PATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-12-22",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "000963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.