Individual provider Active NPI

Raelyn Tooke Slivka, M.S., S.L.P., C.C.C.

  • Speech-Language Pathologist
  • Taunton, MA
National Provider Identifier
1942487715
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5719 Issued in MA
Practice address
68 Allison Ave
Taunton, MA 02780-6958
Phone
(508) 880-0202
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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 5719 MA Primary

Addresses

Primary practice location

68 Allison Ave
Taunton, MA 02780-6958

Mailing address

90 Lehner Dr
Taunton, MA 02780-2295
Phone (508) 823-2120

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5719MAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1942487715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LEHNER DR",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802295",
            "telephone_number": "508-823-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 ALLISON AVE",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027806958",
            "telephone_number": "508-880-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIVKA",
        "first_name": "RAELYN",
        "middle_name": "TOOKE",
        "name_prefix": "Mrs.",
        "credential": "M.S., S.L.P., C.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "5719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.