Rebecca Vitale

Primary specialty

SpecialistTaxonomy code 174400000X

License

UA1017408 Issued in OH

Practice address

305 McKinley Ave NW
Canton, OH 44702-1717

Phone

(330) 438-2500

NPI assigned

Apr 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Board of Education Canton City School District

  • Local Education Agency (LEA)
  • Canton, OH
  • NPI 1932308897
  NPD (past)
• Canton City School District

  • Local Education Agency (LEA)
  • Canton, OH
  • NPI 1508276171
  NPD (past)

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1326468869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MCKINLEY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021717",
            "telephone_number": "330-438-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MCKINLEY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021717",
            "telephone_number": "330-438-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "UA1017408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF EDUCATION",
            "identifier": "UA1017408",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Visionworks, Inc.
• Melissa S Visnick, LPN
• Vista Blue Health and Wellness
• Vista Psychological & Counseling Centre LLC
• Wendy Lynn Vitagliano
• Vitality Med LLC
• Vitality Physical Therapy LLC
• Vitreo-Retinal Consultants, Inc.
• Quintessa Vizzini
• Voca Corp

• All providers in Canton, OH
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.