Vickie Revelette, M.S, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.7479 Issued in OH

Practice address

6840 Lakota LN
Liberty Township, OH 45044-9578

Phone

(513) 755-7211

NPI assigned

May 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Children'S Hospital Medical Center

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1609915784

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1831501667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 HITESHUE AVE",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501567",
            "telephone_number": "513-808-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 LAKOTA LN",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450449578",
            "telephone_number": "513-755-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELETTE",
        "first_name": "VICKIE",
        "credential": "M.S, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.7479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ratajczak, M.D.
• Real Kind Heart Inc
• Suma Inta Reddy, MD
• Ashley Nicole Reid
• Reign Telemed
• Madelyn Mary Riordan
• Veronica Robinson
• Melanie Norman Romaine-Jongewaard, MS, CCC-SLP
• Shelby Rouse, LISW-S
• Benjamin Routhier, PT, DPT

• Speech-Language Pathologist in Liberty Township, OH
• Providers in Liberty Township, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.