Individual provider Active NPI

Cathy Smith Batchelor, CCC-SLP

  • Speech-Language Pathologist
  • Fleming Island, FL
National Provider Identifier
1942320981
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA10489 Issued in FL
Practice address
2629 Country Side Dr
Fleming Island, FL 32003-4953
Phone
(904) 215-1715
NPI assigned
Mar 31, 2007
Last updated
Nov 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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 SA10489 FL Primary

Addresses

Primary practice location

2629 Country Side Dr
Fleming Island, FL 32003-4953

Mailing address

2629 Country Side Dr
Fleming Island, FL 32003-4953
Phone (904) 215-1715

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
SA10489FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1942320981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 COUNTRY SIDE DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034953",
            "telephone_number": "904-215-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 COUNTRY SIDE DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034953",
            "telephone_number": "904-215-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATCHELOR",
        "first_name": "CATHY",
        "middle_name": "SMITH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.