Active NPI
Rachel Kornicki, M.A., SLP
- Speech-Language Pathologist
- Palm Harbor, FL
National Provider Identifier
1689935967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA11569
- Practice address
- 31840 US Highway 19 N
Palm Harbor, FL 34684-3713 - Phone
- (727) 202-9200
- Fax
- (727) 350-9665
- NPI assigned
- Jun 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | SA11569 | FL | Primary |
Addresses
Primary practice location
31840 US Highway 19 N
Palm Harbor, FL 34684-3713
Mailing address
31840 US Highway 19 N.
Palm Harbor, FL 33684-3713
Phone (727) 202-9200
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468800000000",
"number": "1689935967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31840 US HIGHWAY 19 N.",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "336843713",
"telephone_number": "727-202-9200",
"fax_number": "727-350-9665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31840 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843713",
"telephone_number": "727-202-9200",
"fax_number": "727-350-9665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNICKI",
"first_name": "RACHEL",
"credential": "M.A., SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-04",
"last_updated": "2016-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA11569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.