Individual provider Active NPI

Rachell S Keilson Fleischmann

  • Speech-Language Pathologist
  • Far Rockaway, NY
National Provider Identifier
1912236431
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019589 Issued in NY
Practice address
533 Hicksville Rd
Far Rockaway, NY 11691-5423
Phone
(718) 471-0077
NPI assigned
Dec 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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 019589 NY Primary

Addresses

Primary practice location

533 Hicksville Rd
Far Rockaway, NY 11691-5423

Mailing address

533 Hicksville Rd
Far Rockaway, NY 11691-5423
Phone (718) 471-0077

Other names 1

  • Rachell Keilson Former name

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
019589NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1912236431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 HICKSVILLE RD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915423",
            "telephone_number": "718-471-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 HICKSVILLE RD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915423",
            "telephone_number": "718-471-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEILSON FLEISCHMANN",
        "first_name": "RACHELL",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELL",
            "last_name": "KEILSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.