Individual provider Active NPI

Laquita Mae Rabanal, MS, CCC-SLP

  • Speech-Language Pathologist
  • Olathe, KS
National Provider Identifier
1790815678
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2431 Issued in KS
Practice address
1014 E Elizabeth St
Olathe, KS 66061-2924
Phone
(913) 829-0691
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

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 2431 KS Primary

Addresses

Primary practice location

1014 E Elizabeth St
Olathe, KS 66061-2924

Mailing address

1014 E Elizabeth St
Olathe, KS 66061-2924
Phone (913) 829-0691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210525003187 KS Practitioner - Qualified Speech Language Pathologist 6103225065 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2431KSMDClinical Social Worker
1024KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Communication Station LLC Speech-Language Pathologist CurrentSince May 7, 2021 Accepting new patients

Locations

8247 Leavenworth Rd
Kansas City, KS 66109
Phone (913) 703-4037

8010 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 703-4037

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790815678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 E ELIZABETH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612924",
            "telephone_number": "913-829-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 E ELIZABETH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612924",
            "telephone_number": "913-829-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABANAL",
        "first_name": "LAQUITA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.