Individual provider Active NPI

Raquel Closner, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Raymondville, TX
National Provider Identifier
1699059915
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105969 Issued in TX
Practice address
100 N US Highway 77
Suite I
Raymondville, TX 78580-4000
Phone
(956) 689-5301
Fax
(956) 689-2004
NPI assigned
Oct 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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 105969 TX Primary

Addresses

Primary practice location

100 N US Highway 77
Suite I
Raymondville, TX 78580-4000

Mailing address

PO Box 92
Raymondville, TX 78580-0092
Phone (956) 689-5301

Other identifiers 1

IdentifierTypeStateIssuer
363617701MedicaidTX

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
105969TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy, LLC Past Accepting new patients
Kids Skills LLC PastSince Nov 11, 2023 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": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1699059915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785800092",
            "telephone_number": "956-689-5301",
            "fax_number": "956-689-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N US HIGHWAY 77",
            "address_2": "SUITE I",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804000",
            "telephone_number": "956-689-5301",
            "fax_number": "956-689-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSNER",
        "first_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363617701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.