Active NPI
Meredith Jeannette Ritacco, M.S., CCC-SLP
- Speech-Language Pathologist
- Lake Placid, FL
National Provider Identifier
1831238047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 7990
- Practice address
- 116 Chieftain St NW
Lake Placid, FL 33852-8858 - Phone
- (863) 414-0211
- Fax
- (863) 465-2152
- NPI assigned
- Feb 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 7990 | FL | Primary |
Addresses
Primary practice location
116 Chieftain St NW
Lake Placid, FL 33852-8858
Mailing address
116 Chieftain St NW
Lake Placid, FL 33852-8858
Phone (863) 414-0211
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889870700 | Medicaid | FL | |
| 812362400 | Medicaid | FL | |
| S9540 | Other | FL | BLUE CROSS |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 7990 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundance Therapy Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Best Behavioral Solutions, LLC | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Sebring, FL
- NPI 1114378452
-
- Speech-Language Pathologist
- Sebring, FL
- NPI 1477726099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1831238047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 CHIEFTAIN ST NW",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338528858",
"telephone_number": "863-414-0211",
"fax_number": "863-465-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 CHIEFTAIN ST NW",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338528858",
"telephone_number": "863-414-0211",
"fax_number": "863-465-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITACCO",
"first_name": "MEREDITH",
"middle_name": "JEANNETTE",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 7990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889870700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "812362400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "S9540",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.