Active NPI
Rachel Landry, MA, CCC-SLP
- Speech-Language Pathologist
- Aptos, CA
National Provider Identifier
1700417813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP27512
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP27512 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speechrighter, Inc. | Speech-Language Pathologist | Past | 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.
-
- Speech-Language Pathologist
- Capitola, CA
- NPI 1942463823
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.