Active NPI
Eric Vianelle, M.S.CCC-SLP
- Speech-Language Pathologist
- Sacramento, CA
National Provider Identifier
1487977435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 11255
- Practice address
- 5117 8TH Ave
Sacramento, CA 95820-1601 - Phone
- (916) 267-7262
- NPI assigned
- Mar 4, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | SP 11255 | CA | Primary |
Addresses
Primary practice location
5117 8TH Ave
Sacramento, CA 95820-1601
Mailing address
5117 8TH Ave
Sacramento, CA 95820-1601
Phone (916) 267-7262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP 11255 | Other | CA | STATE OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP 11255 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1487977435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5117 8TH AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958201601",
"telephone_number": "916-267-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5117 8TH AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958201601",
"telephone_number": "916-267-7262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIANELLE",
"first_name": "ERIC",
"credential": "M.S.CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-04",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 11255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS",
"identifier": "SP 11255",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.