Individual provider Active NPI

Meredith Jeannette Ritacco, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lake Placid, FL
National Provider Identifier
1831238047
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 7990 Issued in FL
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

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
889870700MedicaidFL
812362400MedicaidFL
S9540OtherFLBLUE 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

LicenseStateTypeSpecialty
SA 7990FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.