Active NPI
Christiana Ruth Dasilva Freitas, M.S. CCC-SLP
- Speech-Language Pathologist
- La Plata, MD
National Provider Identifier
1295026656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 5980 Radio Station Rd
La Plata, MD 20646-3337 - Phone
- (301) 932-6610
- NPI assigned
- Apr 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | MD | Primary | |
| Speech-Language Pathologist | 235Z00000X | SZ5239 | FL |
Addresses
Primary practice location
5980 Radio Station Rd
La Plata, MD 20646-3337
Mailing address
160 NW 4TH St
Boca Raton, FL 33432-3826
Phone (561) 391-8444
Other practice location 1
160 NW 4th St
Boca Raton, FL 33432-3826
Phone (561) 391-8444
Other names 1
- Christiana Ruth Lundquist
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
| License | State | Type | Specialty |
|---|---|---|---|
| SZ5239 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audrey B Greenwald Ms CCC PA | 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.
-
- Health Maintenance Organization
- Boca Raton, FL
- NPI 1013964915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1295026656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 NW 4TH ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334323826",
"telephone_number": "561-391-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5980 RADIO STATION RD",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206463337",
"telephone_number": "301-932-6610"
}
],
"practiceLocations": [
{
"address_1": "160 NW 4th St",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334323826",
"country_code": "US",
"telephone_number": "561-391-8444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DASILVA FREITAS",
"first_name": "CHRISTIANA",
"middle_name": "RUTH",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-20",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ5239",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTIANA",
"last_name": "LUNDQUIST",
"middle_name": "RUTH",
"credential": "M.S. CFY-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Plata, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.