Individual provider Active NPI

Rachel Antrim Ritter, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Laramie, WY
National Provider Identifier
1417467663
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1227 Issued in WY
Practice address
1000 E University Ave # 3311
Laramie, WY 82071-2001
Phone
(307) 766-6424
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 125430 AK
Speech-Language Pathologist 235Z00000X SP-1227 WY Primary

Addresses

Primary practice location

1000 E University Ave # 3311
Laramie, WY 82071-2001

Mailing address

1000 E University Ave # 3311
Laramie, WY 82071-2001
Phone (307) 766-6424

Other practice location 1

650 N Shoreline Dr Ste 101
Wasilla, AK 99654-6677
Phone (907) 376-6363

Other names 1

  • Rachel Kathryn Antrim Former name

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
SP-1227WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wyoming Past Accepting new patients

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": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1417467663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E UNIVERSITY AVE # 3311",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820712001",
            "telephone_number": "307-766-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E UNIVERSITY AVE # 3311",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820712001",
            "telephone_number": "307-766-6424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 N Shoreline Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996546677",
            "country_code": "US",
            "telephone_number": "907-376-6363",
            "fax_number": "907-376-6366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RITTER",
        "first_name": "RACHEL",
        "middle_name": "ANTRIM",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "125430",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-1227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "ANTRIM",
            "middle_name": "KATHRYN",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.