Individual provider Active NPI

Angela Jean Rosino, MA, CCC-SLP

  • Speech-Language Pathologist
  • Oviedo, FL
National Provider Identifier
1528115144
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA6979 Issued in FL
Practice address
23 Alafaya Woods Blvd
Suite 167
Oviedo, FL 32765-6233
Phone
(407) 718-2924
Fax
(407) 366-0044
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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 SA6979 FL Primary

Addresses

Primary practice location

23 Alafaya Woods Blvd
Suite 167
Oviedo, FL 32765-6233

Mailing address

23 Alafaya Woods Blvd
Suite 167
Oviedo, FL 32765-6233
Phone (407) 718-2924

Other identifiers 2

IdentifierTypeStateIssuer
888117100MedicaidFL
686083496MedicaidFL

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 Arts

State licenses

LicenseStateTypeSpecialty
SA6979FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Speech, LLC Speech-Language Pathologist 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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1528115144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ALAFAYA WOODS BLVD",
            "address_2": "SUITE 167",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656233",
            "telephone_number": "407-718-2924",
            "fax_number": "407-366-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ALAFAYA WOODS BLVD",
            "address_2": "SUITE 167",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656233",
            "telephone_number": "407-718-2924",
            "fax_number": "407-366-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSINO",
        "first_name": "ANGELA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888117100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686083496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.