Individual provider Active NPI

Rachel Kittka, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Canonsburg, PA
National Provider Identifier
1750767992
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL015351 Issued in PA
Practice address
1028 Greenfield Dr
Canonsburg, PA 15317-8596
Phone
(412) 327-4429
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP11416 OH
Speech-Language Pathologist 235Z00000X 14106513 PA
Speech-Language Pathologist 235Z00000X 14106513 OH
Speech-Language Pathologist 235Z00000X SL015351 PA Primary

Addresses

Primary practice location

1028 Greenfield Dr
Canonsburg, PA 15317-8596

Mailing address

1028 Greenfield Dr
Canonsburg, PA 15317-8596

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
14106513OHMDSpeech-Language Pathologist
SP11416OHMDSpeech-Language Pathologist
14106513PAMDSpeech-Language Pathologist
SL015351PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Brains Therapy LLC Speech-Language Pathologist CurrentSince Jun 21, 2022 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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1750767992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 GREENFIELD DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153178596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 GREENFIELD DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153178596",
            "telephone_number": "412-327-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTKA",
        "first_name": "RACHEL",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP11416",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "14106513",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "14106513",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.