Active NPI
Katie Ellen Rizco, CCC-SLP
- Speech-Language Pathologist
- Canal Winchester, OH
National Provider Identifier
1881145472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.12817
- Practice address
- 6800 Gender Rd
Canal Winchester, OH 43110-8232 - Phone
- (614) 834-6800
- NPI assigned
- Oct 18, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | COND. 2017041 | OH | |
| Speech-Language Pathologist | 235Z00000X | SP.12817 | OH | Primary |
Addresses
Primary practice location
6800 Gender Rd
Canal Winchester, OH 43110-8232
Mailing address
121 Walnut St
Ashville, OH 43103-1537
Phone (937) 707-9058
Other practice location 1
1155 Atwater Ave
Circleville, OH 43113-1301
Phone (740) 477-1695
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 |
|---|---|---|---|
| COND. 2017041 | OH | MD | Speech-Language Pathologist |
| SP.12817 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1881145472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 WALNUT ST",
"city": "ASHVILLE",
"state": "OH",
"postal_code": "431031537",
"telephone_number": "937-707-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 GENDER RD",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431108232",
"telephone_number": "614-834-6800"
}
],
"practiceLocations": [
{
"address_1": "1155 Atwater Ave",
"address_purpose": "LOCATION",
"city": "Circleville",
"state": "OH",
"postal_code": "431131301",
"country_code": "US",
"telephone_number": "740-477-1695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIZCO",
"first_name": "KATIE",
"middle_name": "ELLEN",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-18",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "COND. 2017041",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.12817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.