Individual provider Active NPI

Paula Christine Macdougall-Pauly, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lake Worth, FL
National Provider Identifier
1356617864
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 11830 Issued in FL
Practice address
4405 Lakewood Rd
Lake Worth, FL 33461-3414
Phone
(772) 286-9440
Fax
(772) 283-3061
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ5675 FL
Speech-Language Pathologist 235Z00000X SA 11830 FL Primary

Addresses

Primary practice location

4405 Lakewood Rd
Lake Worth, FL 33461-3414

Mailing address

5200 N Flagler Dr
#1406
West Palm Beach, FL 33407-2768
Phone (561) 601-8304

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
SA 11830FLMDSpeech-Language Pathologist
SZ5675FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1356617864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 N FLAGLER DR",
            "address_2": "#1406",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072768",
            "telephone_number": "561-601-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 LAKEWOOD RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613414",
            "telephone_number": "772-286-9440",
            "fax_number": "772-283-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOUGALL-PAULY",
        "first_name": "PAULA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ5675",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 11830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.