Individual provider Active NPI

Rinda Elizabeth Werner, M.S. CCC SLP

  • Speech-Language Pathologist
  • Escondido, CA
National Provider Identifier
1386955300
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP22771 Issued in CA
Practice address
3300 Bear Valley Pkwy S
Escondido, CA 92025-7636
Phone
(760) 291-6061
NPI assigned
Jun 24, 2010
Last updated
May 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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 SZ 5003 FL
Speech-Language Pathologist 235Z00000X SP22771 CA Primary

Addresses

Primary practice location

3300 Bear Valley Pkwy S
Escondido, CA 92025-7636

Mailing address

5911 Printwood Way
San Diego, CA 92117-3361
Phone (858) 750-0571

Other practice location 1

200 SE 19th Ave
Pompano Beach, FL 33060-7543
Phone (954) 943-7638 ext. 107

Other practice location 2

5911 Printwood Way
San Diego, CA 92117-3361
Phone (858) 750-0571

Other names 1

  • Miss Rinda Elizabeth Boehm Former name

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
SP22771CAMDSpeech-Language Pathologist
SZ 5003FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1386955300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 PRINTWOOD WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173361",
            "telephone_number": "858-750-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BEAR VALLEY PKWY S",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920257636",
            "telephone_number": "760-291-6061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 SE 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330607543",
            "country_code": "US",
            "telephone_number": "954-943-7638 x107",
            "fax_number": "954-943-5950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5911 Printwood Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921173361",
            "country_code": "US",
            "telephone_number": "858-750-0571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERNER",
        "first_name": "RINDA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ 5003",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP22771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RINDA",
            "last_name": "BOEHM",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.