Active NPI
Caitlin Ranallo
- Speech-Language Pathologist
- Temple, TX
National Provider Identifier
1053953703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
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 | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Therapy Services, LLC | Current | 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.
-
- Occupational Therapist
- Waco, TX
- NPI 1891967717
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.