Active NPI
Viviana Claudia Larrea, MS, CCC-SLP
- Speech-Language Pathologist
- Oakland Park, FL
National Provider Identifier
1083869267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 12722
- Practice address
- 4341 NE 18TH Ave
Oakland Park, FL 33334-5544 - Phone
- (516) 304-9128
- NPI assigned
- Dec 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 018659 | NY | |
| Developmental Therapist | 222Q00000X | FL | ||
| Speech-Language Pathologist | 235Z00000X | SA12722 | FL | |
| Early Intervention Provider Agency | 252Y00000X | FL | ||
| Speech-Language Pathologist | 235Z00000X | SA 12722 | FL | Primary |
Addresses
Primary practice location
4341 NE 18TH Ave
Oakland Park, FL 33334-5544
Mailing address
4341 NE 18TH Ave
Oakland Park, FL 33334-5544
Phone (516) 304-9128
Other practice location 1
12713 SW 49th Dr
Miramar, FL 33027-5817
Phone (516) 304-9128
Other practice location 2
1033 NE 17th Way Unit 301
Fort Lauderdale, FL 33304-2477
Phone (516) 304-9128
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018659 | NY | MD | Dental Hygienist |
| SA 12722 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiny Kids Corp | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
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-Language Pathologist
- Oakland Park, FL
- NPI 1699301820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1083869267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4341 NE 18TH AVE",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333345544",
"telephone_number": "516-304-9128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4341 NE 18TH AVE",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333345544",
"telephone_number": "516-304-9128"
}
],
"practiceLocations": [
{
"address_1": "12713 SW 49th Dr",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330275817",
"country_code": "US",
"telephone_number": "516-304-9128",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1033 NE 17th Way Unit 301",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333042477",
"country_code": "US",
"telephone_number": "516-304-9128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARREA",
"first_name": "VIVIANA",
"middle_name": "CLAUDIA",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-01",
"last_updated": "2022-03-07",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "018659",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA12722",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 12722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Park, FL
- Richard A Kushnick, MD
- Scott La Salle
- La Sonrisa del Abuelo LLC
- Lakshay Goyal DDS PA (Oakland Park Family Dental)
- May Yan Lam, PA-C
- Laser Focus Pediatric Therapy Center, LLC
- Jenny Rocio Latorre, APRN
- Lauderdale Critical Care Services, LLC
- Lauderhill Medical Clinic Inc
- Lauren E Lira D.C., Inc (Fusion Health Wellness and Recovery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.