Active NPI
Lisa Neff Rydarowski
- Case Manager/Care Coordinator
- Marietta, GA
National Provider Identifier
1811051709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- SLP001517
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00547125 | Other | ASHA CERTIFICATION | |
| SLP001517 | Other | GA | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP001517 | GA | MD | Speech-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.