Individual provider Active NPI

Erika Rochelle Raines

  • Speech-Language Pathologist
  • Tallahassee, FL
National Provider Identifier
1417442690
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9153 Issued in FL
Practice address
901 Riggins Rd Apt 136
Tallahassee, FL 32308-6297
Phone
(305) 469-2195
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 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 SA9153 FL Primary

Addresses

Primary practice location

901 Riggins Rd Apt 136
Tallahassee, FL 32308-6297

Mailing address

901 Riggins Rd Apt 136
Tallahassee, FL 32308-6297
Phone (305) 469-2195

Other practice location 1

67 Sand Pine Cir
Midway, FL 32343
Phone (305) 469-2195

Other identifiers 1

IdentifierTypeStateIssuer
SA9153OtherFLSPEECH LANGUAGE PATHOLOGIST LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA9153FLMDSpeech-Language Pathologist

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, 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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1417442690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RIGGINS RD APT 136",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086297",
            "telephone_number": "305-469-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIGGINS RD APT 136",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086297",
            "telephone_number": "305-469-2195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Sand Pine Cir",
            "address_purpose": "LOCATION",
            "city": "Midway",
            "state": "FL",
            "postal_code": "32343",
            "country_code": "US",
            "telephone_number": "305-469-2195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINES",
        "first_name": "ERIKA",
        "middle_name": "ROCHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST LICENSE",
            "identifier": "SA9153",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.