Individual provider Active NPI

Raquel Fuentes-Zapata, MS, CCC-SLP

  • Speech-Language Pathologist
  • Tarpon Springs, FL
National Provider Identifier
1265989123
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11672 Issued in FL
Practice address
1144 Clippers Way
Tarpon Springs, FL 34689-1826
Phone
(727) 804-8181
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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 SA11672 FL Primary

Addresses

Primary practice location

1144 Clippers Way
Tarpon Springs, FL 34689-1826

Mailing address

1144 Clippers Way
Tarpon Springs, FL 34689-1826
Phone (727) 804-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230302002726 FL Practitioner - Qualified Speech Language Pathologist 5395118855 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA11672FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bilingual Speech Therapy of Clearwater LLC Speech-Language Pathologist CurrentSince Oct 15, 2022 Accepting new patients

Locations

29257 US Highway 19 N
Clearwater, FL 33761
Phone (727) 201-2778

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1265989123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 CLIPPERS WAY",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891826",
            "telephone_number": "727-804-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 CLIPPERS WAY",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891826",
            "telephone_number": "727-804-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES-ZAPATA",
        "first_name": "RAQUEL",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.