Individual provider Active NPI

Kacey Riga, SLP

  • Speech-Language Pathologist
  • Cleveland, OH
National Provider Identifier
1164197216
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.14885 Issued in OH
Practice address
11635 Euclid Ave
Cleveland, OH 44106-4319
Phone
(216) 231-8787
Fax
(216) 231-8787
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X COND.20211692-SP OH
Speech-Language Pathologist 235Z00000X SP.14885 OH Primary

Addresses

Primary practice location

11635 Euclid Ave
Cleveland, OH 44106-4319

Mailing address

11635 Euclid Ave
Cleveland, OH 44106-4319
Phone (216) 231-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220728001742 OH Practitioner - Qualified Speech Language Pathologist 8022490697 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COND.20211692-SPOHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Hearing and Speech Center Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Cleveland Hearing and Speech Center PastSince Jul 1, 2022 Accepting new patients

Locations

6001 Euclid Ave
Ste 100
Cleveland, OH 44103
Phone (216) 231-8787

11635 Euclid Ave
Cleveland, OH 44106
Phone (216) 231-8787

5084 Mayfield Rd
Lyndhurst, OH 44124
Phone (216) 231-8787

Organizations & group practices 2

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1164197216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11635 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064319",
            "telephone_number": "216-231-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11635 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441064319",
            "telephone_number": "216-231-8787",
            "fax_number": "216-231-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGA",
        "first_name": "KACEY",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20211692-SP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.