Individual provider Active NPI

Jennifer Cherie Han-Rivas, SLP

  • Speech-Language Pathologist
  • Blythe, CA
National Provider Identifier
1316407141
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
28289 Issued in CA
Practice address
208 W Hobsonway
Blythe, CA 92225-1619
Phone
(760) 799-3187
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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 28289 CA Primary

Addresses

Primary practice location

208 W Hobsonway
Blythe, CA 92225-1619

Mailing address

1317 W San Gorgonio St
Blythe, CA 92225-1458
Phone (760) 799-3187

Other names 1

  • Jennifer Cherie Han Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL workofheartspeechtherapy@gmail.com Health Information Exchange (HIE)

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
28289CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1316407141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 W SAN GORGONIO ST",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251458",
            "telephone_number": "760-799-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251619",
            "telephone_number": "760-799-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN-RIVAS",
        "first_name": "JENNIFER",
        "middle_name": "CHERIE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "28289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "workofheartspeechtherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "208 W Hobsonway",
            "city": "Blythe",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922251619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HAN",
            "middle_name": "CHERIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blythe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.