Individual provider Active NPI

Rachel Riely, MS, CCC-SLP

  • Speech-Language Pathologist
  • Woodland, CA
National Provider Identifier
1366056798
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP13346 Issued in CA
Practice address
240 Palm Ave
Woodland, CA 95695-2844
Phone
(530) 661-0574
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP13346 CA Primary

Addresses

Primary practice location

240 Palm Ave
Woodland, CA 95695-2844

Mailing address

803 Braddock CT
Davis, CA 95618-4952
Phone (530) 574-2073

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP13346CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Gardens Senior Living LLC CurrentSince Jul 28, 2025 Accepting new patients

Locations

240 Palm Ave
Woodland, CA 95695
Phone (530) 661-0574

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.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1366056798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 BRADDOCK CT",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956184952",
            "telephone_number": "530-574-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PALM AVE",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952844",
            "telephone_number": "530-661-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIELY",
        "first_name": "RACHEL",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP13346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.