Active NPI
Amanda Lee Richetta, M.A.
- Speech-Language Pathologist
- Lower Burrell, PA
National Provider Identifier
1013165646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL009291
- Practice address
- 110 Allen St
Lower Burrell, PA 15068-3113 - Phone
- (724) 304-0030
- NPI assigned
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | SL009291 | PA | Primary |
Addresses
Primary practice location
110 Allen St
Lower Burrell, PA 15068-3113
Mailing address
110 Allen St
Lower Burrell, PA 15068-3113
Phone (724) 304-0030
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)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1013165646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 ALLEN ST",
"city": "LOWER BURRELL",
"state": "PA",
"postal_code": "150683113",
"telephone_number": "724-304-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 ALLEN ST",
"city": "LOWER BURRELL",
"state": "PA",
"postal_code": "150683113",
"telephone_number": "724-304-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHETTA",
"first_name": "AMANDA",
"middle_name": "LEE",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL009291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lower Burrell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.