Individual provider Active NPI

Cara Rene Barthelette, MS

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1619016342
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ4129 Issued in FL
Practice address
11435 W Palmetto Park Rd Ste J
Boca Raton, FL 33428-2630
Phone
(561) 702-6141
Fax
(561) 361-9179
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 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 SZ4129 FL Primary

Addresses

Primary practice location

11435 W Palmetto Park Rd Ste J
Boca Raton, FL 33428-2630

Mailing address

22308 Pineapple Walk Dr
Boca Raton, FL 33433-5522
Phone (561) 866-8918

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
SZ4129FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pedia-Speech, Inc. 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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1619016342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22308 PINEAPPLE WALK DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335522",
            "telephone_number": "561-866-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11435 W PALMETTO PARK RD STE J",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282630",
            "telephone_number": "561-702-6141",
            "fax_number": "561-361-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHELETTE",
        "first_name": "CARA",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ4129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.