1831238047 NPI number — MRS. MEREDITH JEANNETTE RITACCO M.S., CCC-SLP

Table of content: MRS. MEREDITH JEANNETTE RITACCO M.S., CCC-SLP (NPI 1831238047)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831238047 NPI number — MRS. MEREDITH JEANNETTE RITACCO M.S., CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RITACCO
Provider First Name:
MEREDITH
Provider Middle Name:
JEANNETTE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S., CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831238047
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/18/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
116 CHIEFTAIN ST NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKE PLACID
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33852-8858
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
863-414-0211
Provider Business Mailing Address Fax Number:
863-465-2152

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
116 CHIEFTAIN ST NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKE PLACID
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33852-8858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-414-0211
Provider Business Practice Location Address Fax Number:
863-465-2152
Provider Enumeration Date:
02/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  SA 7990 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 889870700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 812362400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: S9540 . This is a "BLUE CROSS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 112680600 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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