Lizabeth Anne Rauckhorst, M.S. CCC- SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA8042 Issued in FL

Practice address

14100 Fivay Rd
Suite 210
Hudson, FL 34667-7180

Phone

(727) 869-9479

NPI assigned

Jan 29, 2007

Last updated

Jul 4, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Lizabeth Anne Marretta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215129600000",
    "number": "1710023825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 WAGON WHEEL LN",
            "city": "BAYONET POINT",
            "state": "FL",
            "postal_code": "346672582",
            "telephone_number": "727-534-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD",
            "address_2": "SUITE 210",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677180",
            "telephone_number": "727-869-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCKHORST",
        "first_name": "LIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889769700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZABETH",
            "last_name": "MARRETTA",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juan M Raposo, M.D.
• Darren R Raske, RN
• Kathleen Raske, COTA / L
• Tala Rassool
• Narayana Murthy S Rattehalli, M.D.
• Raghav Anjan Ravuri
• Vinod K Raxwal, MD
• Noah Robert Ray, PHYSICAL THERAPIST
• Ziyad H Razeq, MD
• RCM Services and Consulting

• Speech-Language Pathologist in Hudson, FL
• Providers in Hudson, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2008; 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.