Individual provider Active NPI

Annmarie Rabal, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Mount Pleasant, SC
National Provider Identifier
1376822452
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4916 Issued in SC
Practice address
3550 Stockton Dr
Mt Pleasant, SC 29466-7028
Phone
(843) 300-2812
NPI assigned
Aug 8, 2011
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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 4916 SC Primary

Addresses

Primary practice location

3550 Stockton Dr
Mt Pleasant, SC 29466-7028

Mailing address

3217 Seaborn Dr
Mt Pleasant, SC 29466-8529
Phone (843) 300-2812

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. Pleasant Pediatric Speech Therapy, LLC Speech-Language Pathologist CurrentSince Sep 12, 2021 Accepting new patients
Mount Pleasant Pediatric Physical Therapy, LLC Past Accepting new patients

Locations

1051 Johnnie Dodds Blvd
Ste G
Mt Pleasant, SC 29464
Phone (843) 654-9694

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1376822452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 SEABORN DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294668529",
            "telephone_number": "843-300-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 STOCKTON DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667028",
            "telephone_number": "843-300-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABAL",
        "first_name": "ANNMARIE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.