Active NPI
Jonathan Tyler Ritchie
- Speech-Language Pathologist
- Grand Rapids, MI
National Provider Identifier
1245873884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101003857
- Practice address
- 1912 Concord Ave SE
Grand Rapids, MI 49506-4653 - Phone
- (616) 638-6178
- NPI assigned
- Oct 27, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 7101003857 | MI | Primary |
Addresses
Primary practice location
1912 Concord Ave SE
Grand Rapids, MI 49506-4653
Mailing address
1912 Concord Ave SE
Grand Rapids, MI 49506-4653
Phone (616) 638-6178
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572134400000",
"number": "1245873884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1912 CONCORD AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495064653",
"telephone_number": "616-638-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 CONCORD AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495064653",
"telephone_number": "616-638-6178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITCHIE",
"first_name": "JONATHAN",
"middle_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-27",
"last_updated": "2019-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101003857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.