Individual provider Active NPI

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

  • Speech-Language Pathologist
  • Deland, FL
National Provider Identifier
1962077941
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
200 N Clara Ave
Deland, FL 32720-4207
Phone
(386) 734-7190
NPI assigned
May 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 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 NY Primary

Addresses

Primary practice location

200 N Clara Ave
Deland, FL 32720-4207

Mailing address

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

Other practice location 1

129 Ostrander Ave
Riverhead, NY 11901-4643
Phone (631) 740-9060

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

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 and National Provider Directory roles.

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": "1663804800000",
    "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": "200 N CLARA AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327204207",
            "telephone_number": "386-734-7190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Ostrander Ave",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119014643",
            "country_code": "US",
            "telephone_number": "631-740-9060",
            "fax_number": "440-401-2605",
            "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": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.