Individual provider Active NPI

Nika Catherine Palceski, MA,CCC-SLP

  • Speech-Language Pathologist
  • Longwood, FL
National Provider Identifier
1629119896
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8365 Issued in FL
Practice address
147 Parsons Rd
Longwood, FL 32779-2748
Phone
(407) 252-4651
Fax
(407) 641-8633
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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 SA8365 FL Primary

Addresses

Primary practice location

147 Parsons Rd
Longwood, FL 32779-2748

Mailing address

147 Parsons Rd
Longwood, FL 32779-2748
Phone (407) 252-4651

Other identifiers 1

IdentifierTypeStateIssuer
891185100MedicaidFL

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
SA8365FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Solutions in Home Health Current Accepting new patients
Creative Solutions in Home Health Current Accepting new patients

Organizations & group practices 2

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1629119896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 PARSONS RD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792748",
            "telephone_number": "407-252-4651",
            "fax_number": "407-641-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PARSONS RD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792748",
            "telephone_number": "407-252-4651",
            "fax_number": "407-641-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALCESKI",
        "first_name": "NIKA",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891185100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.