Rachel Lee Shockley, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6112 Issued in FL

Practice address

4219 Flora Vista Dr
Orlando, FL 32837-4793

Phone

(407) 857-6285

Fax

(407) 857-9566

NPI assigned

Aug 4, 2006

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

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.

• Corrective Speech and Language Therapy, Inc.

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1356318489
  Medicare reassignment Authorized official
• Corrective Speech and Language Therapy, Inc.

  • Early Intervention Provider Agency
  • Orlando, FL
  • NPI 1972259604
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1891703930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 FLORA VISTA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374793",
            "telephone_number": "407-857-6285",
            "fax_number": "407-857-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 FLORA VISTA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374793",
            "telephone_number": "407-857-6285",
            "fax_number": "407-857-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "RACHEL",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikram Shivkumar, M.D.
• Branden Scott Shlansky, DO
• Vanessa Yvette Shlansky, PA-C
• Diana Shmoysh, MD
• Lisa Gay Shockley, R.N., MSN
• Austin Rand Shoener, MD
• John Darrin Sholar, LMHC
• Devin N Sholty, PA-C
• Shoreline Mental Health Services LLC.
• Tanya Lee Shores, M.S. CCC-SLP

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.