Active NPI
Abigail P Raines, MA, CCC-SLP
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1396231858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17258
- Practice address
- 4780 Data CT
Orlando, FL 32817-8331 - Phone
- (727) 637-7294
- NPI assigned
- Jul 9, 2018
- Last updated
- Nov 20, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 17258 | FL | Primary |
Addresses
Primary practice location
4780 Data CT
Orlando, FL 32817-8331
Mailing address
1333 Lake Baldwin LN Unit 115
Orlando, FL 32814-6761
Phone (727) 637-7294
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17258 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1396231858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 LAKE BALDWIN LN UNIT 115",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328146761",
"telephone_number": "727-637-7294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4780 DATA CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328178331",
"telephone_number": "727-637-7294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINES",
"first_name": "ABIGAIL",
"middle_name": "P",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-09",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "17258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.