Individual provider Active NPI

Rebecca Nicole Dupre, CCC-SLP

  • Speech-Language Pathologist
  • Farmington, CT
National Provider Identifier
1932718806
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA23046 Issued in FL
Practice address
304 Main St
Farmington, CT 06032-2985
Phone
(860) 674-1824
NPI assigned
Jul 27, 2020
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30003434 NC
Speech-Language Pathologist 235Z00000X SA23046 FL Primary
Speech-Language Pathologist 235Z00000X SLP.0004791 CO
Speech-Language Pathologist 235Z00000X 37443 CA
Speech-Language Pathologist 235Z00000X SLP101054 MA

Addresses

Primary practice location

304 Main St
Farmington, CT 06032-2985

Mailing address

304 Main St
Farmington, CT 06032-2985
Phone (860) 674-1824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA, MA, FL, NC5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20240605004165 CO Practitioner - Qualified Speech Language Pathologist 3274075296 Reassigns benefits to 1 organization
I20240708000603 CA Practitioner - Qualified Speech Language Pathologist 3274075296 Reassigns benefits to 1 organization
I20240813001960 MA Practitioner - Qualified Speech Language Pathologist 3274075296 Reassigns benefits to 1 organization
I20241015004236 FL Practitioner - Qualified Speech Language Pathologist 3274075296 Reassigns benefits to 1 organization
I20241127000187 NC Practitioner - Qualified Speech Language Pathologist 3274075296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Expressable Therapy PCGroup PAC ID 0042698136, 67 clinicians
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

102 S Tejon St
Suite 1100
Colorado Springs, CO 80903-2253
Phone (561) 462-3933

111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (512) 399-0064

2530 Meridian Pkwy
Suite 300
Durham, NC 27713-5273
Phone (512) 399-0064

300 Baker Ave
Suite 300
Concord, MA 01742-2124
Phone (512) 399-0064

633 W 5TH St
Ofc 2876B
Los Angeles, CA 90071-2005
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA23046FLMDSpeech-Language Pathologist
SLP101054MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Jul 15, 2024 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Jun 20, 2024 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

102 S Tejon St
Ste 1100
Colorado Springs, CO 80903
Phone (514) 851-3224

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731

2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1932718806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MAIN ST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322985",
            "telephone_number": "860-674-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN ST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322985",
            "telephone_number": "860-674-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPRE",
        "first_name": "REBECCA",
        "middle_name": "NICOLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003434",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA23046",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0004791",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "37443",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SLP101054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.