Remai Jacqueline Eckhardt, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Tequesta, FL
NPI 1437347010 · NPPES record last updated Apr 20, 2012
Key facts
- NPI
- 1437347010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA7527 (FL)
- Practice address
- 169 Tequesta Dr
Suite 24E
Tequesta, FL 33469-2768 - Phone
- (561) 747-8188
- Fax
- (561) 747-8388
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6801 Breacksville Rd
Independence, OH 44131-5058
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251001004601 | FL | Practitioner - Qualified Speech Language Pathologist | 8022514769 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA7527 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Memorial Medical Center Inc | Current |
Accepting new patients | |
| Martin Memorial Medical Center Inc | Current |
Accepting new patients | |
| Castle Therapy, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Martin Memorial Physician Corporation Inc | Past | Accepting new patients |
Locations
3496 NW Federal Hwy
Ste G
Jensen Beach, FL 34957
Phone (772) 223-5677
1095 NW Saint Lucie West Blvd
Ste 210
Port Saint Lucie, FL 34986
Phone (772) 785-5536
1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 785-5500
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA7527 | FL | Yes |
Addresses
Primary practice location
169 Tequesta Dr
Suite 24E
Tequesta, FL 33469-2768
Mailing address
8825 SE Longview Dr
Hobe Sound, FL 33455-7420
Phone (772) 781-1490
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12009739 | Other | ASHA | |
| 892241100 | Medicaid | FL | |
| SA7527 | Other | FL | STATE LISENCE |
Other providers in Tequesta, FL
- Dmes Inc
- Carolina Dominguez
- Jill Caroline Dooley
- Lewis Jackson Dorrance
- Cassandra Madison Dunn-Tackett
- Elevate Dental PA
- Evolution Counseling
- Eyes of Tequesta, PLLC
- Bettina Vitale Fiessinger
- Janine Lynn Flanders
All providers in Tequesta, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.