Individual provider Active NPI

Yazmine Rivera

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1275358400
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
123280 Issued in TX
Practice address
814 Arion Pkwy Ste 413
San Antonio, TX 78216-2837
Phone
(210) 495-0750
NPI assigned
Nov 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 123280 TX Primary

Addresses

Primary practice location

814 Arion Pkwy Ste 413
San Antonio, TX 78216-2837

Mailing address

814 Arion Pkwy Ste 413
San Antonio, TX 78216-2837

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
123280TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Outpatient Rehab Services, LLC CurrentSince Nov 24, 2024 Accepting new patients

Locations

814 Arion Pkwy
Ste 413
San Antonio, TX 78216
Phone (210) 338-7430

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": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1275358400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 ARION PKWY STE 413",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 ARION PKWY STE 413",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162837",
            "telephone_number": "210-495-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "YAZMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "123280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.