Individual provider Active NPI

John E. Ribera, PH.D.

  • Audiologist
  • Logan, UT
National Provider Identifier
1225221609
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
106502-4101 Issued in UT
Practice address
Dept of Communicative Disorders and Deaf Education
1000 Old Main Hill
Logan, UT 84322-1000
Phone
(435) 707-7190
Fax
(435) 797-0221
NPI assigned
Aug 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 106502-4101 UT Primary

Addresses

Primary practice location

Dept of Communicative Disorders and Deaf Education
1000 Old Main Hill
Logan, UT 84322-1000

Mailing address

1000 Old Main Hill
Dept. of Communicative Disorders and Deaf Education
Logan, UT 84322-1000
Phone (435) 707-7190

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
106502-4101UTMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1225221609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 OLD MAIN HILL",
            "address_2": "DEPT. OF COMMUNICATIVE DISORDERS AND DEAF EDUCATION",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843221000",
            "telephone_number": "435-707-7190",
            "fax_number": "435-797-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT OF COMMUNICATIVE DISORDERS AND DEAF EDUCATION",
            "address_2": "1000 OLD MAIN HILL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843221000",
            "telephone_number": "435-707-7190",
            "fax_number": "435-797-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBERA",
        "first_name": "JOHN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "106502-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.