Individual provider Active NPI

Viviana Claudia Larrea, MS, CCC-SLP

  • Speech-Language Pathologist
  • Oakland Park, FL
National Provider Identifier
1083869267
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 12722 Issued in FL
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

Updated by the provider on Mar 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
018659NYMDDental Hygienist
SA 12722FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiny Kids Corp Speech-Language Pathologist CurrentSince Mar 13, 2022 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.

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

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.

Verify at the official NPI Registry.