Individual provider Active NPI

Pamela Rotondo, SLP

  • Speech-Language Pathologist
  • Kingston, RI
National Provider Identifier
1760538797
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP00385 Issued in RI
Practice address
25 W Independence Way
Suite I
Kingston, RI 02881-1124
Phone
(401) 874-9387
Fax
(401) 874-4404
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SP00385 RI Primary

Addresses

Primary practice location

25 W Independence Way
Suite I
Kingston, RI 02881-1124

Mailing address

25 W Independence Way
Suite I
Kingston, RI 02881-1124
Phone (401) 874-9387

Other identifiers 2

IdentifierTypeStateIssuer
4600118OtherRIUNITED HEALTH PROVIDER ID
2626-0OtherRIBLUE CROSS PROVIDER ID

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

State licenses

LicenseStateTypeSpecialty
SP00385RIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rhode Island Speech-Language Pathologist PastSince Feb 4, 2024 Accepting new patients
State of Rhode Island and Providence Plantations Speech-Language Pathologist Past 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, 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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760538797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W INDEPENDENCE WAY",
            "address_2": "SUITE I",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "028811124",
            "telephone_number": "401-874-9387",
            "fax_number": "401-874-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W INDEPENDENCE WAY",
            "address_2": "SUITE I",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "028811124",
            "telephone_number": "401-874-9387",
            "fax_number": "401-874-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTONDO",
        "first_name": "PAMELA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP00385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PROVIDER ID",
            "identifier": "4600118",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "2626-0",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.