Active NPI
Patricia A. Rivera, M.S., CCC/SLP-L
- Speech-Language Pathologist
- Williamsville, NY
National Provider Identifier
1063661320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 011965-1
- Practice address
- 80 Lawrence Bell Dr
Williamsville, NY 14221-7074 - Phone
- (716) 204-0355
- NPI assigned
- Sep 11, 2008
- 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 | 011965-1 | NY | Primary |
Addresses
Primary practice location
80 Lawrence Bell Dr
Williamsville, NY 14221-7074
Mailing address
6353 Rounds Rd
Newfane, NY 14108-9771
Phone (716) 434-2656
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 |
|---|---|---|---|
| 011965-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1063661320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6353 ROUNDS RD",
"city": "NEWFANE",
"state": "NY",
"postal_code": "141089771",
"telephone_number": "716-434-2656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 LAWRENCE BELL DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217074",
"telephone_number": "716-204-0355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "PATRICIA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "M.S., CCC/SLP-L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "011965-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.