Individual provider Active NPI

Donna Elaine Lariviere, OTR/L

  • Community Health Worker
  • Dayton, ME
National Provider Identifier
1346533411
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
ME1490 Issued in ME
Practice address
995 Goodwins Mills Rd
Dayton, ME 04005-7348
Phone
(207) 499-0080
Fax
(207) 499-2597
NPI assigned
May 24, 2011
Last updated
May 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X ME1490 ME Primary

Addresses

Primary practice location

995 Goodwins Mills Rd
Dayton, ME 04005-7348

Mailing address

PO Box 558
West Kennebunk, ME 04094-0558
Phone (207) 499-0080

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
ME1490MEMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ladawn Quarter Horses Therapeutic Riding Center Past Accepting new patients
Ladawn Therapeutic Riding Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1346533411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "city": "WEST KENNEBUNK",
            "state": "ME",
            "postal_code": "040940558",
            "telephone_number": "207-499-0080",
            "fax_number": "207-499-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 GOODWINS MILLS RD",
            "city": "DAYTON",
            "state": "ME",
            "postal_code": "040057348",
            "telephone_number": "207-499-0080",
            "fax_number": "207-499-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIVIERE",
        "first_name": "DONNA",
        "middle_name": "ELAINE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "ME",
            "license": "ME1490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.