Individual provider Active NPI

Rebecca Elisa Rosado-Woolfe, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Palm Beach Gardens, FL
National Provider Identifier
1619114204
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 9720 Issued in FL
Practice address
710 Duchess CT
Palm Beach Gardens, FL 33410-1554
Phone
(561) 254-9277
Fax
(615) 704-3033
NPI assigned
Jan 19, 2009
Last updated
Jan 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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 SA 9720 FL Primary

Addresses

Primary practice location

710 Duchess CT
Palm Beach Gardens, FL 33410-1554

Mailing address

PO Box 33461
Palm Beach Gardens, FL 33420-3461
Phone (561) 254-9277

Other identifiers 2

IdentifierTypeStateIssuer
12130977OtherAMERICA SPEECH-LANGUAGE HEARING ASSOCIATION CERTIFICATE OF CLINICAL COMPETENCE
SA 9720OtherFLBOARD OF SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY

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
SA 9720FLMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232323200000",
    "number": "1619114204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33461",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334203461",
            "telephone_number": "561-254-9277",
            "fax_number": "615-704-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 DUCHESS CT",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101554",
            "telephone_number": "561-254-9277",
            "fax_number": "615-704-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO-WOOLFE",
        "first_name": "REBECCA",
        "middle_name": "ELISA",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA SPEECH-LANGUAGE HEARING ASSOCIATION CERTIFICATE OF CLINICAL COMPETENCE",
            "identifier": "12130977",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY",
            "identifier": "SA 9720",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.