Physician Compare National (NPI:1942316070)
HEALTHCARE PROVIDER: ROSEMARIE NOVEMBER M.A., CCC-SLP
Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.
Individual Professional Information |
|
NPI
|
1942316070
|
|
Unique healthcare provider (clinician) ID assigned by NPPES
|
|
PECOS UID
|
7911209127
|
|
Unique individual clinician ID assigned by PECOS
|
|
Professional Enrollment ID
|
I20180416002478
|
|
Unique ID for the individual professional enrollment that is the source for the data in the observation
|
|
Provider Last Name
|
NOVEMBER
|
|
Individual professional last name
|
|
Provider First Name
|
ROSEMARIE
|
|
Individual professional first name
|
|
Provider Gender
|
F
|
|
The provider's gender if the provider is a person.
|
Medical School Information |
|
Medical School Name
|
OTHER
|
|
Individual professional's medical school
|
|
Graduation Year
|
1989
|
|
Individual professional's medical school graduation year
|
|
Primary Specialty
|
QUALIFIED SPEECH LANGUAGE PATHOLOGIST
|
|
Primary medical specialty reported by the individual professional in the selected enrollment
|
Practice Information |
|
Line 1 Street Address
|
1948 SE PORT ST LUCIE BLVD
|
|
Group Practice or individual's line 1 address
|
|
City
|
PORT ST LUCIE
|
|
Group Practice or individual's city
|
|
State
|
FL
|
|
Group Practice or individual's state
|
|
Zip Code
|
349525510
|
|
Group Practice or individual's zip code (9 digits when available)
|
Hospital(s) Affiliation Information |
|
Professional Accepts Medicare Assignment
|
Y
|
|
|