Individual provider Active NPI

Fazeela Rafeena Ragnauth, SLPA

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1407373871
Registry record updated Aug 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SI3362 Issued in FL
Practice address
6900 S Orange Blossom TRL Ste 102
Orlando, FL 32809-5734
Phone
(321) 445-1287
NPI assigned
Aug 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SI3362 FL Primary

Addresses

Primary practice location

6900 S Orange Blossom TRL Ste 102
Orlando, FL 32809-5734

Mailing address

3516 Saltlake CT
Orlando, FL 32810-2931
Phone (407) 487-0925

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

State licenses

LicenseStateTypeSpecialty
SI3362FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talk Active Corporation Single Specialty 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.

NPI Registry JSON

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

{
    "created_epoch": "1503792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503792000000",
    "number": "1407373871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 SALTLAKE CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102931",
            "telephone_number": "407-487-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 S ORANGE BLOSSOM TRL STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095734",
            "telephone_number": "321-445-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGNAUTH",
        "first_name": "FAZEELA",
        "middle_name": "RAFEENA",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-27",
        "last_updated": "2017-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SI3362",
            "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 Aug 27, 2017; 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.