Individual provider Active NPI

Ivana Sofia Vega-Rivera

  • Speech-Language Pathologist
  • Etna, OH
National Provider Identifier
1427964113
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
COND20263535-SP Issued in OH
Practice address
10466 Taylor Rd SW
Etna, OH 43068-3249
Phone
(614) 501-5500
NPI assigned
Aug 21, 2026
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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 COND20263535-SP OH Primary

Addresses

Primary practice location

10466 Taylor Rd SW
Etna, OH 43068-3249

Mailing address

8147 Reynoldswood Dr
Reynoldsburg, OH 43068-9328
Phone (614) 578-4655

Other practice location 1

8200 Taylor Rd SW
Reynoldsburg, OH 43068-9630
Phone (614) 367-2930

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
COND20263535-SPOHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1427964113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8147 REYNOLDSWOOD DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689328",
            "telephone_number": "614-578-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10466 TAYLOR RD SW",
            "city": "ETNA",
            "state": "OH",
            "postal_code": "430683249",
            "telephone_number": "614-501-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Taylor Rd SW",
            "address_purpose": "LOCATION",
            "city": "Reynoldsburg",
            "state": "OH",
            "postal_code": "430689630",
            "country_code": "US",
            "telephone_number": "614-367-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA-RIVERA",
        "first_name": "IVANA",
        "middle_name": "SOFIA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND20263535-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Etna, OH

Sources for this page

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

Verify at the official NPI Registry.