Active NPI
Yelitza Rivera, M.S.
- Speech-Language Pathologist
- Jacksonville, FL
National Provider Identifier
1396701918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA548
- Practice address
- 4101-1 College St
Jacksonville, FL 32205-5318 - Phone
- (904) 387-0155
- Fax
- (904) 387-0156
- NPI assigned
- Apr 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA548 | FL | Primary |
Addresses
Primary practice location
4101-1 College St
Jacksonville, FL 32205-5318
Mailing address
3862 Arden St
Jacksonville, FL 32205-9302
Phone (904) 673-9783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA548 | Other | FL | FLORIDA SLP LICENSE |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA548 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1396701918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3862 ARDEN ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322059302",
"telephone_number": "904-673-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101-1 COLLEGE ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322055318",
"telephone_number": "904-387-0155",
"fax_number": "904-387-0156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "YELITZA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA SLP LICENSE",
"identifier": "SA548",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.