Individual provider Active NPI

Emilie Caitlin Larrivee, SLPD, CAGS, CCC-SLP

  • Speech-Language Pathologist
  • Bolton, MA
National Provider Identifier
1174868012
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8334 Issued in MA
Practice address
91 Quaker LN
Bolton, MA 01740-1330
Phone
(508) 274-0215
NPI assigned
Dec 4, 2012
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8334 MA Primary
Speech-Language Pathologist 235Z00000X 2755 NH

Addresses

Primary practice location

91 Quaker LN
Bolton, MA 01740-1330

Mailing address

91 Quaker LN
Bolton, MA 01740-1330
Phone (508) 274-0215

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

State licenses

LicenseStateTypeSpecialty
8334MAMDMental Health Counselor
2755NHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1174868012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 QUAKER LN",
            "city": "BOLTON",
            "state": "MA",
            "postal_code": "017401330",
            "telephone_number": "508-274-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 QUAKER LN",
            "city": "BOLTON",
            "state": "MA",
            "postal_code": "017401330",
            "telephone_number": "508-274-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRIVEE",
        "first_name": "EMILIE",
        "middle_name": "CAITLIN",
        "name_prefix": "Dr.",
        "credential": "SLPD, CAGS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "8334",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "2755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.