Active NPI
Haylei Summer Riedel
- Speech-Language Pathologist
- Lake Mary, FL
National Provider Identifier
1558086520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ13152
- Practice address
- 1061 S Sun Dr Ste 1089
Lake Mary, FL 32746-6169 - Phone
- (407) 323-6955
- NPI assigned
- Oct 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | SZ13152 | FL | Primary |
Addresses
Primary practice location
1061 S Sun Dr Ste 1089
Lake Mary, FL 32746-6169
Mailing address
1468 Northridge Dr
Longwood, FL 32750-4548
Phone (407) 925-9491
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 |
|---|---|---|---|
| SI5760 | FL | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Rehab, Inc. | Current | Accepting new patients |
Locations
1061 S Sun Dr
Ste 1089
Lake Mary, FL 32746
Phone (407) 203-2369
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.
-
- Clinic/Center
- Lake Mary, FL
- NPI 1285788083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1558086520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1468 NORTHRIDGE DR",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504548",
"telephone_number": "407-925-9491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 S SUN DR STE 1089",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327466169",
"telephone_number": "407-323-6955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEDEL",
"first_name": "HAYLEI",
"middle_name": "SUMMER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ13152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.