Individual provider Active NPI

Aleida M. Rivero, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1588879712
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12875 Issued in FL
Practice address
12740 Lanier Rd
Jacksonville, FL 32226-1704
Phone
(904) 757-0600
Fax
(888) 421-1025
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X COND 2007081 SP OH
Speech-Language Pathologist 235Z00000X SP.8944 OH
Speech-Language Pathologist 235Z00000X SA12875 FL Primary

Addresses

Primary practice location

12740 Lanier Rd
Jacksonville, FL 32226-1704

Mailing address

2750 Coachman Lakes Dr
Jacksonville, FL 32246-1858
Phone (904) 534-3503

Other identifiers 3

IdentifierTypeStateIssuer
SP.8944OtherOHOHIO SPEECH-LANGUAGE PATHOLOGY LICENSE
SA12875OtherFLFLORIDA SPEECH-LANGUAGE PATHOLOGY LICENSE
12100681OtherASHA CERTIFICATE OF CLINICAL COMPETENCE

Other names 1

  • Ms. Aly M. Rivero Professional 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA12875FLMDSpeech-Language Pathologist
COND 2007081 SPOHMDSpeech-Language Pathologist
SP.8944OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1588879712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 COACHMAN LAKES DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322461858",
            "telephone_number": "904-534-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 LANIER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322261704",
            "telephone_number": "904-757-0600",
            "fax_number": "888-421-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "ALEIDA",
        "middle_name": "M.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND 2007081 SP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.8944",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO SPEECH-LANGUAGE PATHOLOGY LICENSE",
            "identifier": "SP.8944",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA SPEECH-LANGUAGE PATHOLOGY LICENSE",
            "identifier": "SA12875",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATE OF CLINICAL COMPETENCE",
            "identifier": "12100681",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALY",
            "last_name": "RIVERO",
            "middle_name": "M.",
            "prefix": "MS.",
            "credential": "M.A., CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Aug 6, 2025; 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.