Individual provider Active NPI

Caitlin Ranallo

  • Speech-Language Pathologist
  • Temple, TX
National Provider Identifier
1053953703
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
6420 S General Bruce Dr
Temple, TX 76502-5830
Phone
(254) 399-8255
Fax
(254) 235-3408
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

6420 S General Bruce Dr
Temple, TX 76502-5830

Mailing address

601 W Loop 340
Waco, TX 76712-6840
Phone (254) 399-8255

Other practice location 1

601 W Loop 340
Waco, TX 76712-6840
Phone (254) 399-8255

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Therapy Services, LLC CurrentSince Oct 4, 2020 Accepting new patients

Locations

6420 S General Bruce Dr
Temple, TX 76502

601 W Loop 340
Woodway, TX 76712
Phone (254) 523-4478

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1053953703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W LOOP 340",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126840",
            "telephone_number": "254-399-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 S GENERAL BRUCE DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025830",
            "telephone_number": "254-399-8255",
            "fax_number": "254-235-3408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Loop 340",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767126840",
            "country_code": "US",
            "telephone_number": "254-399-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANALLO",
        "first_name": "CAITLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.