Active NPI
Ashley Michelle Retz, SLP
- Speech-Language Pathologist
- Palm Coast, FL
National Provider Identifier
1447503248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 1120
- Practice address
- 389 Palm Coast Pkwy SW
Suite 1
Palm Coast, FL 32137-4771 - Phone
- (386) 597-2820
- Fax
- (386) 597-2820
- NPI assigned
- Oct 18, 2012
- 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 | SA 1120 | FL | Primary |
Addresses
Primary practice location
389 Palm Coast Pkwy SW
Suite 1
Palm Coast, FL 32137-4771
Mailing address
389 Palm Coast Parkway
Suite 1
Palm Coast, FL 32137
Phone (386) 597-2820
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA 1120 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1447503248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 PALM COAST PARKWAY",
"address_2": "SUITE 1",
"city": "PALM COAST",
"state": "FL",
"postal_code": "32137",
"telephone_number": "386-597-2820",
"fax_number": "386-597-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 PALM COAST PKWY SW",
"address_2": "SUITE 1",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321374771",
"telephone_number": "386-597-2820",
"fax_number": "386-597-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETZ",
"first_name": "ASHLEY",
"middle_name": "MICHELLE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-18",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 1120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.