Individual provider Active NPI

Abigail Rachael Hernandez, MS, CCC-SLP

  • Speech-Language Pathologist
  • Clermont, FL
National Provider Identifier
1578054300
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12896 Issued in FL
Practice address
1529 Sunrise Plaza Dr
Clermont, FL 34714-6202
Phone
(352) 243-9341
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2018

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 SA12896 FL Primary

Addresses

Primary practice location

1529 Sunrise Plaza Dr
Clermont, FL 34714-6202

Mailing address

6343 Southbridge St
Windermere, FL 34786-7373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102000473 FL Practitioner - Qualified Speech Language Pathologist 9234589342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Rehabilitation PLLCGroup PAC ID 4385984871, 11 clinicians

Practice addresses (Care Compare)

14215 W Colonial Dr
Winter Garden, FL 34787-4208
Phone (407) 614-8002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Rehabilitation PLLC CurrentSince Nov 29, 2023 Accepting new patients

Locations

13798 Speer Island Dr
Windermere, FL 34786
Phone (386) 256-1969

14215 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 595-8962

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1578054300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 SOUTHBRIDGE ST",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 SUNRISE PLAZA DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146202",
            "telephone_number": "352-243-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ABIGAIL",
        "middle_name": "RACHAEL",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.