Rachel Beth Diem, M.A. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010172 Issued in PA

Practice address

1126 Walnut Street
Lebanon, PA 17042

Phone

(717) 274-3493

Fax

(717) 274-1304

NPI assigned

Sep 23, 2011

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 names 1

• Miss Rachel Beth Panas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Developmental & Disability Services

  • Speech-Language Pathologist
  • Lebanon, PA
  • NPI 1366575458
  NPD (past)

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1891078093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 WALNUT STREET",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17042",
            "telephone_number": "717-274-3493",
            "fax_number": "717-274-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 WALNUT STREET",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "17042",
            "telephone_number": "717-274-3493",
            "fax_number": "717-274-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEM",
        "first_name": "RACHEL",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "PANAS",
            "middle_name": "BETH",
            "prefix": "MISS",
            "credential": "M.A. CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Felix F Diaz, CADC
• Shawne D. Diaz, LPC
• Jaime M Dickinson, MSW, LCSW
• Brianna Dideriksen
• Angela N Diehl, RN
• Ryan Difelice, PHARMD
• Heather Lynn Diffendall, CRNP
• Paul R. Digiacomo, M.D.
• Lorena Rose Diguiseppe, PHARMD
• Christine Dilger

• Speech-Language Pathologist in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.