Individual provider Active NPI

Nayllim Rivera-Rivera, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Wesley Chapel, FL
National Provider Identifier
1629557954
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA17356 Issued in FL
Practice address
5807 Argerian Dr Ste 101
Wesley Chapel, FL 33545-4151
Phone
(813) 973-9068
NPI assigned
Aug 8, 2018
Last updated
Sep 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ8694 FL
Speech-Language Pathologist 235Z00000X SA17356 FL Primary

Addresses

Primary practice location

5807 Argerian Dr Ste 101
Wesley Chapel, FL 33545-4151

Mailing address

5807 Argerian Dr Ste 101
Wesley Chapel, FL 33545-4151
Phone (813) 973-9068

Other identifiers 1

IdentifierTypeStateIssuer
100679800MedicaidFL

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

LicenseStateTypeSpecialty
SA17356FLMDSpeech-Language Pathologist
SZ8694FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy Alliance, Inc Speech-Language Pathologist PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1629557954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 ARGERIAN DR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335454151",
            "telephone_number": "813-973-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 ARGERIAN DR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335454151",
            "telephone_number": "813-973-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-RIVERA",
        "first_name": "NAYLLIM",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8694",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100679800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.