Individual provider Active NPI

Danielle Nicole Reitinger, MA

  • Speech-Language Pathologist
  • Avon Lake, OH
National Provider Identifier
1851989909
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP14504 Issued in OH
Practice address
32967 Redwood Blvd
Avon Lake, OH 44012-1441
Phone
(440) 933-5145
Fax
(440) 933-6230
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 SP14504 OH Primary

Addresses

Primary practice location

32967 Redwood Blvd
Avon Lake, OH 44012-1441

Mailing address

32967 Redwood Blvd
Avon Lake, OH 44012-1441
Phone (440) 933-5145

Other names 1

  • Mrs. Danielle Nicole Reitinger Other name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP14504OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1851989909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32967 REDWOOD BLVD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121441",
            "telephone_number": "440-933-5145",
            "fax_number": "440-933-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32967 REDWOOD BLVD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121441",
            "telephone_number": "440-933-5145",
            "fax_number": "440-933-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITINGER",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP14504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "REITINGER",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "MA-CCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Avon Lake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.