Individual provider Active NPI

Rachel Matlock, SLP

  • Speech-Language Pathologist
  • Highfield, MD
National Provider Identifier
1710718465
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11187 Issued in NU
Practice address
14519 Pennersville Rd
Highfield, MD 21719-1802
Phone
(301) 766-8066
NPI assigned
Aug 13, 2024
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 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 11187 NU Primary

Addresses

Primary practice location

14519 Pennersville Rd
Highfield, MD 21719-1802

Mailing address

10435 Downsville Pike
Hagerstown, MD 21740-1732
Phone (301) 766-8222

Other practice location 1

1321 S Potomac St
Hagerstown, MD 21740-7326
Phone (301) 766-8110

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

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Education of Washington County Speech-Language Pathologist CurrentSince Aug 18, 2024 Accepting new patients
Washington County Early Intervention Speech-Language Pathologist CurrentSince Aug 18, 2024 Accepting new patients

Locations

10435 Downsville Pike
Hagerstown, MD 21740
Phone (301) 766-2800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1710718465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 DOWNSVILLE PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217401732",
            "telephone_number": "301-766-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14519 PENNERSVILLE RD",
            "city": "HIGHFIELD",
            "state": "MD",
            "postal_code": "217191802",
            "telephone_number": "301-766-8066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 S Potomac St",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217407326",
            "country_code": "US",
            "telephone_number": "301-766-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "RACHEL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": "11187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

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