Individual provider Active NPI

Lisbeth Giselle Gutierrez Triveno, OTR/L

  • Occupational Therapist
  • Boca Raton, FL
National Provider Identifier
1366895609
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17939 Issued in FL
Practice address
6343 Via de Sonrisa del Sur
Boca Raton, FL 33433-8211
Phone
(561) 392-5940
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17939 FL Primary

Addresses

Primary practice location

6343 Via de Sonrisa del Sur
Boca Raton, FL 33433-8211

Mailing address

6343 Via de Sonrisa del Sur
Boca Raton, FL 33433-8211
Phone (561) 392-5940

Other names 1

  • Lisbeth Giselle Triveno Former name

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
17939FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1366895609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 VIA DE SONRISA DEL SUR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334338211",
            "telephone_number": "561-392-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 VIA DE SONRISA DEL SUR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334338211",
            "telephone_number": "561-392-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ TRIVENO",
        "first_name": "LISBETH",
        "middle_name": "GISELLE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "17939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISBETH",
            "last_name": "TRIVENO",
            "middle_name": "GISELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.