Active NPI
Alexine M Rajnic, CCC SLP
- Speech-Language Pathologist
- Shenandoah, PA
National Provider Identifier
1962603605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL000386L
- Practice address
- 101 E Washington St
Shenandoah Manor Nursing Home
Shenandoah, PA 17976 - Phone
- (570) 462-1910
- Fax
- (570) 462-9801
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL000386L | PA | Primary |
Addresses
Primary practice location
101 E Washington St
Shenandoah Manor Nursing Home
Shenandoah, PA 17976
Mailing address
10 West Phillip St
Coaldale, PA 18218-1437
Phone (610) 780-8035
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
| License | State | Type | Specialty |
|---|---|---|---|
| SL000386L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962603605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WEST PHILLIP ST",
"city": "COALDALE",
"state": "PA",
"postal_code": "182181437",
"telephone_number": "610-780-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E WASHINGTON ST",
"address_2": "SHENANDOAH MANOR NURSING HOME",
"city": "SHENANDOAH",
"state": "PA",
"postal_code": "17976",
"telephone_number": "570-462-1910",
"fax_number": "570-462-9801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJNIC",
"first_name": "ALEXINE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL000386L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, PA
- Renee Marie Motsko, RPH
- Amanda Lynn Mozdy
- Kristin M. Nunes, LCSW
- Alyssa Pfeil
- Primary Health Network
- Redner's Markets, Inc. (Redner's Pharmacy #22)
- Matthew William Reed
- Ridgeview Healthcare & Rehab Center LLC
- Ridgeview Operations LLC (Ridgeview Healthcare & Rehab Center)
- Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 00208)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.