Rita Wallace

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 6684 Issued in OH

Practice address

890 W 4TH St
Ontario, OH 44906-2565

Phone

(419) 774-5520

NPI assigned

Feb 20, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1043635584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 LEXINGTON AVE",
            "city": "LEXINGTON",
            "state": "OH",
            "postal_code": "449041425",
            "telephone_number": "419-884-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W 4TH ST",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449062565",
            "telephone_number": "419-774-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "RITA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 6684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Vanartsdalen
• Lisa Gay Varney, LPN
• Kaily Vitullo
• Daniel E Wade Jr., D.O.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1539)
• Wallowa Dialysis LLC (Mid Ohio Dialysis)
• Wellspring Pharmacy Health Inc.
• Matthew Wentz, RN
• Lynne Werth, M.D.
• Whiteamire Clinic PA Inc

• Speech-Language Pathologist in Ontario, OH
• Providers in Ontario, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.