Active NPI
Randie Lee Phillips, MS-SLP
- Speech-Language Pathologist
- Jupiter, FL
National Provider Identifier
1780892190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ 4058
- Practice address
- 1210 S Old Dixie Hwy
Jupiter, FL 33458-7205 - Phone
- (561) 748-4117
- Fax
- (561) 745-5747
- NPI assigned
- May 18, 2007
- 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 | SZ 4058 | FL | Primary |
Addresses
Primary practice location
1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Mailing address
1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 748-4117
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
| License | State | Type | Specialty |
|---|---|---|---|
| SZ 4058 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780892190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 S OLD DIXIE HWY",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587205",
"telephone_number": "561-748-4117",
"fax_number": "561-745-5747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S OLD DIXIE HWY",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587205",
"telephone_number": "561-748-4117",
"fax_number": "561-745-5747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "RANDIE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "MS-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ 4058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
- PGL Medical Group, PA
- Pharmacy at Abacoa Inc
- Pharmacy at Abacoa, Inc.
- Pharmacy Distributor Services, Inc,.
- Jean L Philbin
- Jennifer Philogene, PA-C
- Ronald D Philogene, APRN
- Virginia Christine Phipps, DO
- Physical Therapy Institute and Aquatic Rehab, Inc
- Physical Therapy Institute and Aquatic Rehab, Inc.
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.