Individual provider Active NPI

Anitrea Victoria Ritvalski, RN, BSN MBA

  • Home Health Registered Nurse
  • Plano, TX
National Provider Identifier
1760954440
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
676415 Issued in TX
Practice address
1255 W 15TH St
Plano, TX 75075-7299
Phone
(972) 673-0404
Fax
(469) 626-9670
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 676415 TX
Case Management Registered Nurse 163WC0400X 676415 TX
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X 676415 TX Primary

Addresses

Primary practice location

1255 W 15TH St
Plano, TX 75075-7299

Mailing address

7133 Huckleberry Dr
McKinney, TX 75070-4794
Phone (972) 741-3012

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
676415TXMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1760954440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7133 HUCKLEBERRY DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704794",
            "telephone_number": "972-741-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757299",
            "telephone_number": "972-673-0404",
            "fax_number": "469-626-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITVALSKI",
        "first_name": "ANITREA",
        "middle_name": "VICTORIA",
        "credential": "RN, BSN MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "676415",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "676415",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "676415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.