Active NPI
Natalie Zhitnitsky, SLP
- Speech-Language Pathologist
- Woodland Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- CCC9644
- Practice address
- 20720 Ventura Blvd Ste 260
Woodland Hills, CA 91364-6261 - Phone
- (818) 708-7704
- Fax
- (818) 708-7707
- NPI assigned
- May 22, 2008
- Sex
- Female
- 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 | CCC9644 | CA | Primary |
Addresses
Primary practice location
20720 Ventura Blvd Ste 260
Woodland Hills, CA 91364-6261
Mailing address
20720 Ventura Blvd Ste 260
Woodland Hills, CA 91364-6261
Phone (818) 708-7704
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 704362 | Other | CA | ACN PROVIDER |
| CCC9644 | Other | CA | LICENSE |
| ZZZ67240Z | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090727000250 | CA | Practitioner - Qualified Speech Language Pathologist | 7113070996 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20720 Ventura Blvd
Suite 260
Woodland Hills, CA 91364-6261
Phone (818) 708-7704
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCC9644 | CA | MD | Speech-Language Pathologist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Speech and Swallow Speech Therapy, Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Vital Speech and Swallow | Speech-Language Pathologist | Past | Accepting new patients |
Locations
19100 Ventura Blvd
Ste Q
Tarzana, CA 91356
Phone (818) 344-2663
20720 Ventura Blvd
Ste 260
Woodland Hills, CA 91364
Phone (818) 708-7704
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Woodland Hills, CA
- NPI 1336461383
CA, Speech-Language Pathologist
-
- Speech-Language Pathologist
- Tarzana, CA
- NPI 1013245687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1699932004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20720 VENTURA BLVD STE 260",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913646261",
"telephone_number": "818-708-7704",
"fax_number": "818-708-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20720 VENTURA BLVD STE 260",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913646261",
"telephone_number": "818-708-7704",
"fax_number": "818-708-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHITNITSKY",
"first_name": "NATALIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2021-11-24",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "CCC9644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN PROVIDER",
"identifier": "704362",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "CCC9644",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ67240Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.