Lesley Denise Larive, SPEECH LANGUAGE PATH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1017 Issued in NE

Practice address

5116 N 176TH St
Omaha, NE 68116-3178

Phone

(402) 415-1682

NPI assigned

Jan 20, 2012

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)

Enrolled

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.

• Speech Professionals

  • Speech-Language Pathologist
  • Omaha, NE
  • NPI 1891440632
  NPD Authorized official

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1003187139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 N 176TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681163178",
            "telephone_number": "402-415-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 N 176TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681163178",
            "telephone_number": "402-415-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIVE",
        "first_name": "LESLEY",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "SPEECH LANGUAGE PATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jabar G Laramore
• Assana NA Larba
• Alexander Largen, MD
• Kathryn P Larimer, ACSW
• Mario Larios
• Brandee C Larkin, PHARMD
• Samson Emanuel Laro
• Sandra Larocca
• Allyssa Sarah Jean Larose, MS CF-SLP
• Denisa Dawn Larreau, PLMHP

• Speech-Language Pathologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.