Healthcare Provider Details

I. General information

NPI: 1225834591
Provider Name (Legal Business Name): RACHEL SIMS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 BAY AVE
CLEARWATER FL
33756-5291
US

IV. Provider business mailing address

420 BAY AVE
CLEARWATER FL
33756-5291
US

V. Phone/Fax

Practice location:
  • Phone: 727-445-4700
  • Fax:
Mailing address:
  • Phone: 727-445-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101008238
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA20935
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: