Individual provider Active NPI

Rajveena Kaur Koont, M.S. SLP

  • Speech-Language Pathologist
  • Rancho Cordova, CA
National Provider Identifier
1508102617
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6762 Issued in CA
Practice address
4129 Aragon Way
Rancho Cordova, CA 95742-8007
Phone
(916) 380-7830
NPI assigned
Dec 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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 6762 CA Primary

Addresses

Primary practice location

4129 Aragon Way
Rancho Cordova, CA 95742-8007

Mailing address

4129 Aragon Way
Rancho Cordova, CA 95742-8007
Phone (916) 380-7830

Other names 1

  • Rajveena Mander Former name

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 Science

State licenses

LicenseStateTypeSpecialty
6762CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1508102617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 ARAGON WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957428007",
            "telephone_number": "916-380-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 ARAGON WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957428007",
            "telephone_number": "916-380-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONT",
        "first_name": "RAJVEENA",
        "middle_name": "KAUR",
        "credential": "M.S. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "6762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJVEENA",
            "last_name": "MANDER",
            "credential": "M.S. SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.