Active NPI
Rebecca S. Ryckert, M.S./CCC-SLP
- Speech-Language Pathologist
- Paola, KS
National Provider Identifier
1881231249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3247
- Practice address
- 14713 W 311TH St
Paola, KS 66071-7497 - Phone
- (509) 750-7401
- NPI assigned
- Dec 4, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3247 | IA | Primary |
Addresses
Primary practice location
14713 W 311TH St
Paola, KS 66071-7497
Mailing address
14713 W 311TH St
Paola, KS 66071-7497
Phone (509) 750-7401
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3247 | IA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1881231249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14713 W 311TH ST",
"city": "PAOLA",
"state": "KS",
"postal_code": "660717497",
"telephone_number": "509-750-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14713 W 311TH ST",
"city": "PAOLA",
"state": "KS",
"postal_code": "660717497",
"telephone_number": "509-750-7401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYCKERT",
"first_name": "REBECCA",
"middle_name": "S.",
"credential": "M.S./CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-04",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "3247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paola, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.