Individual provider Active NPI

Rebekah Joy Nevenglosky, M.S. SLP-CCC

  • Speech-Language Pathologist
  • Owings, MD
National Provider Identifier
1942920954
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
07024 Issued in MD
Practice address
9550 Boyds Turn Rd
Owings, MD 20736-3515
Phone
(443) 550-9790
NPI assigned
Aug 30, 2022
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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 07024 MD Primary

Addresses

Primary practice location

9550 Boyds Turn Rd
Owings, MD 20736-3515

Mailing address

344 Overlook Dr
Prince Frederick, MD 20678-3035
Phone (570) 239-9592

Other identifiers 1

IdentifierTypeStateIssuer
07024OtherMDMD SLP LICENSE

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
07024MDMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1942920954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 OVERLOOK DR",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783035",
            "telephone_number": "570-239-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 BOYDS TURN RD",
            "city": "OWINGS",
            "state": "MD",
            "postal_code": "207363515",
            "telephone_number": "443-550-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVENGLOSKY",
        "first_name": "REBEKAH",
        "middle_name": "JOY",
        "credential": "M.S. SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD SLP LICENSE",
            "identifier": "07024",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.