Individual provider Active NPI

Lisa Neff Rydarowski

  • Case Manager/Care Coordinator
  • Marietta, GA
National Provider Identifier
1811051709
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
SLP001517 Issued in GA
Practice address
3418 Cranborne Chase
Marietta, GA 30062-7413
Phone
(770) 509-9143
Fax
(770) 509-9143
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X SLP001517 GA Primary
Speech-Language Pathologist 235Z00000X SLP001517 GA

Addresses

Primary practice location

3418 Cranborne Chase
Marietta, GA 30062-7413

Mailing address

3418 Cranborne Chase
Marietta, GA 30062-7413
Phone (770) 509-9143

Other identifiers 2

IdentifierTypeStateIssuer
00547125OtherASHA CERTIFICATION
SLP001517OtherGASTATE LIC.-SLP

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

State licenses

LicenseStateTypeSpecialty
SLP001517GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811051709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 CRANBORNE CHASE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627413",
            "telephone_number": "770-509-9143",
            "fax_number": "770-509-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 CRANBORNE CHASE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627413",
            "telephone_number": "770-509-9143",
            "fax_number": "770-509-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDAROWSKI",
        "first_name": "LISA",
        "middle_name": "NEFF",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "SLP001517",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP001517",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION",
            "identifier": "00547125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC.-SLP",
            "identifier": "SLP001517",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.