Rachael Angeline Condon, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011980 Issued in PA

Practice address

1370 Anders Rd
Lansdale, PA 19446-4846

Phone

(201) 787-7863

NPI assigned

Jun 23, 2014

Last updated

Dec 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Rachael Angeline Mierzwa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: rachael.condon.p1@direct.salusuhealth.nextgenshare.com

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1669887212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 ANDERS RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194464846",
            "telephone_number": "201-787-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 ANDERS RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194464846",
            "telephone_number": "201-787-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDON",
        "first_name": "RACHAEL",
        "middle_name": "ANGELINE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011980",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00798600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "MIERZWA",
            "middle_name": "ANGELINE",
            "prefix": "MS.",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Colbaugh
• Nancy Lee Colbaugh
• Randall A. Cole
• Colonial Emergency Physicians
• Amy Anne Colucci, FNP-C
• Susan Conety, MA, CCC/SLP
• Susan Brown Connelly, PHARMD
• Lucille Ann Constantine, CRNP
• Daniel Cooper, PA-C
• Edye Gordon Cooperman, SLP/CCC M.ED

• Speech-Language Pathologist in Lansdale, PA
• Providers in Lansdale, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.