Individual provider Active NPI

Andrew Mandell Riviere, PHD

  • Speech-Language Pathologist
  • Falls Church, VA
National Provider Identifier
1104332345
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202008443 Issued in VA
Practice address
3440 S Jefferson St
Falls Church, VA 22041-3145
Phone
(703) 578-7660
NPI assigned
Dec 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6767 LA
Speech-Language Pathologist 235Z00000X SLP001095 DC
Speech-Language Pathologist 235Z00000X 2202008443 VA Primary

Addresses

Primary practice location

3440 S Jefferson St
Falls Church, VA 22041-3145

Mailing address

2500 Wisconsin Ave NW Apt 748
Washington, DC 20007-4523

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6767LAMDMental Health Counselor
SLP001095DCMDSpeech-Language Pathologist
2202008443VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1104332345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WISCONSIN AVE NW APT 748",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 S JEFFERSON ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220413145",
            "telephone_number": "703-578-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVIERE",
        "first_name": "ANDREW",
        "middle_name": "MANDELL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6767",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP001095",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.