Active NPI
Michelle L Lariviere, MA CCC-A
- Audiologist-Hearing Aid Fitter
- Warwick, RI
National Provider Identifier
1174897623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AUD149
- Practice address
- 931 Jefferson Blvd., Suite 2001
Warwick, RI 02886 - Phone
- (401) 921-3320
- NPI assigned
- Mar 1, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | SP701AU | MA | |
| Audiologist-Hearing Aid Fitter | 237600000X | AUD149 | RI | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 480 | CT |
Addresses
Primary practice location
931 Jefferson Blvd., Suite 2001
Warwick, RI 02886
Mailing address
115 Cresthill Dr
East Greenwich, RI 02818-2621
Phone (401) 398-1977
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598891855 | Medicaid | RI | |
| 1598891855 | Medicaid | CT | |
| 1598891855 | Medicaid | MA |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP701AU | MA | MD | Audiologist-Hearing Aid Fitter |
| AUD149 | RI | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1174897623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CRESTHILL DR",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028182621",
"telephone_number": "401-398-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 JEFFERSON BLVD., SUITE 2001",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-921-3320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARIVIERE",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "MA CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MA",
"license": "SP701AU",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "RI",
"license": "AUD149",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CT",
"license": "480",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598891855",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598891855",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598891855",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.