Rita Grace Fortney, MA CCCSP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

ASHA12048761 Issued in WV

Practice address

Route 10
Wyoming County Board of Education
Pineville, WV 24874

Phone

(304) 732-6262

Fax

(304) 732-8569

NPI assigned

Sep 7, 2007

Last updated

Sep 7, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1255526786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC63 BOX 936",
            "city": "PANTHER",
            "state": "WV",
            "postal_code": "24872",
            "telephone_number": "304-938-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 10",
            "address_2": "WYOMING COUNTY BOARD OF EDUCATION",
            "city": "PINEVILLE",
            "state": "WV",
            "postal_code": "24874",
            "telephone_number": "304-732-6262",
            "fax_number": "304-732-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNEY",
        "first_name": "RITA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "MA CCCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "ASHA12048761",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "WVSLP0921",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9409126000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Pineville, WV
• Providers in Pineville, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.