Individual provider Active NPI

Racquel J Simpson, M.S., CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • South Daytona, FL
National Provider Identifier
1962077941
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA20908 Issued in FL
Practice address
801 Chicago Ave
South Daytona, FL 32119-1813
Phone
(386) 301-2081
NPI assigned
May 23, 2021
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 SA20908 FL Primary

Addresses

Primary practice location

801 Chicago Ave
South Daytona, FL 32119-1813

Mailing address

200 N Clara Ave
Deland, FL 32720-4207
Phone (386) 734-7190

Other practice location 1

200 N Clara Ave
Deland, FL 32720-4207
Phone (386) 734-7190

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
SA20908FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peconic Speech Services, P.C. Speech-Language Pathologist CurrentSince Mar 3, 2025 Accepting new patients

Locations

129 Ostrander Ave
Riverhead, NY 11901
Phone (631) 740-9060

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": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1962077941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N CLARA AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327204207",
            "telephone_number": "386-734-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CHICAGO AVE",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191813",
            "telephone_number": "386-301-2081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Clara Ave",
            "address_purpose": "LOCATION",
            "city": "Deland",
            "state": "FL",
            "postal_code": "327204207",
            "country_code": "US",
            "telephone_number": "386-734-7190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "RACQUEL",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-23",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.