Active NPI
Rhonda M McGowan, SLP
- Speech-Language Pathologist
- Orange Park, FL
National Provider Identifier
1578860367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA6639
- Practice address
- 1248 Kingsley Ave
Orange Park, FL 32073-4699 - Phone
- (904) 269-7817
- Fax
- (904) 269-7817
- NPI assigned
- Feb 15, 2011
- 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 | SA6639 | FL | Primary |
Addresses
Primary practice location
1248 Kingsley Ave
Orange Park, FL 32073-4699
Mailing address
2222 Sullivan TRL
Easton, PA 18040-7958
Phone (610) 991-2034
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1578860367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 SULLIVAN TRL",
"city": "EASTON",
"state": "PA",
"postal_code": "180407958",
"telephone_number": "610-991-2034",
"fax_number": "610-438-2046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1248 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734699",
"telephone_number": "904-269-7817",
"fax_number": "904-269-7817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "RHONDA",
"middle_name": "M",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-15",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA6639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.