AMELIA IGLESIAS (CCC-SLP) – Speech-Language Pathologist, NPI 1083462345

AMELIA IGLESIAS (CCC-SLP) is a healthcare provider. based in East providence, Rhode Island. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials CCC-SLP. They hold a License No. SP01835 (RI). The NPI Number for AMELIA IGLESIAS (CCC-SLP) is 1083462345

Main info

Female
Sole Proprietor
4 Years Of Experience
Name
AMELIA IGLESIAS (CCC-SLP)
NPI
1083462345
Phone
(401) 438-7210
Address
30 ALEXANDER AVE
Enumeration Date
10 May 2024
Last Update Date
10 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014387210165
Graduation Year
2022 (4 years ago)
PAC ID
5496295214
Group Practice PAC ID
4880587880
Professional Enrollment ID
I20240908000083
Address ID
RI029142309EA30XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

27 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in RI

Provider Addresses for AMELIA IGLESIAS (CCC-SLP)

  • 30 ALEXANDER AVE

    EAST PROVIDENCE, RI 029142309

    Phone: (401) 438-7210

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240908000083IQualified Speech Language PathologistRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02914)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880587880View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeRI
Occupational Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

Is AMELIA IGLESIAS (CCC-SLP) listed with a National Provider Identifier?
Yes — AMELIA IGLESIAS (CCC-SLP) has NPI 1083462345 on file in the registry.
Would AMELIA IGLESIAS (CCC-SLP) appear as active to a payer?
You can treat AMELIA IGLESIAS (CCC-SLP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is AMELIA IGLESIAS (CCC-SLP)?
AMELIA IGLESIAS (CCC-SLP) is associated with Speech-Language Pathologist in the directory — Clinical services aligned with this taxonomy classification.
Is AMELIA IGLESIAS (CCC-SLP) located near East Providence?
AMELIA IGLESIAS (CCC-SLP) currently maps to East Providence, Rhode Island in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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