Individual provider Active NPI

Rosemarie November, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Port St Lucie, FL
National Provider Identifier
1942316070
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA618 Issued in FL
Practice address
1948 SE Port St Lucie Blvd
Suite B
Port St Lucie, FL 34952-5510
Phone
(772) 342-1435
Fax
(855) 437-5783
NPI assigned
Aug 22, 2006
Last updated
Jan 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA618 FL Primary
Speech-Language Pathologist 235Z00000X SP 3807 OH

Addresses

Primary practice location

1948 SE Port St Lucie Blvd
Suite B
Port St Lucie, FL 34952-5510

Mailing address

441 SE Verada Ave
Port St Lucie, FL 34983-2242
Phone (772) 342-1435

Other identifiers 2

IdentifierTypeStateIssuer
SP3807OtherOHOHIO LICENSE NUMBER
885836500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180416002478 FL Practitioner - Qualified Speech Language Pathologist 7911209127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1701 SE Hillmoor Dr
Suite A1
Port St Lucie, FL 34952-7540
Phone (772) 342-1435

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SA618FLMDSpeech-Language Pathologist
SP 3807OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
November & Associates Speech-Language & Developmental Center, Inc. Speech-Language Pathologist CurrentSince Jun 9, 2003 Accepting new patients

Locations

1701 SE Hillmoor Dr
Ste A1
Port St Lucie, FL 34952
Phone (772) 337-5511

1948 SE Port St Lucie Blvd
Ste B
Port St Lucie, FL 34952
Phone (772) 342-1435

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, 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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1942316070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 SE VERADA AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832242",
            "telephone_number": "772-342-1435",
            "fax_number": "855-437-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 SE PORT ST LUCIE BLVD",
            "address_2": "SUITE B",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525510",
            "telephone_number": "772-342-1435",
            "fax_number": "855-437-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVEMBER",
        "first_name": "ROSEMARIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA618",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 3807",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE NUMBER",
            "identifier": "SP3807",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885836500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.