Individual provider Active NPI

Rachel Landry, MA, CCC-SLP

  • Speech-Language Pathologist
  • Aptos, CA
National Provider Identifier
1700417813
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP27512 Issued in CA
Practice address
9057 Soquel Drive
Building a, Suite CC
Aptos, CA 95003
Phone
(831) 471-7344
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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 SP27512 CA Primary

Addresses

Primary practice location

9057 Soquel Drive
Building a, Suite CC
Aptos, CA 95003

Mailing address

367 Fairmount Ave # a
Santa Cruz, CA 95062-1152
Phone (831) 713-8238

Other practice location 1

820 Bay Ave Ste 212
Capitola, CA 95010-2103
Phone (831) 854-2060

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
SP27512CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speechrighter, Inc. Speech-Language Pathologist PastSince Feb 1, 2020 Accepting new patients

Organizations & group practices 1

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1700417813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 FAIRMOUNT AVE # A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621152",
            "telephone_number": "831-713-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9057 SOQUEL DRIVE",
            "address_2": "BUILDING A, SUITE CC",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "95003",
            "telephone_number": "831-471-7344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Bay Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Capitola",
            "state": "CA",
            "postal_code": "950102103",
            "country_code": "US",
            "telephone_number": "831-854-2060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "RACHEL",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP27512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aptos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.