Rebecca Larussa, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

11267 Issued in AZ

Practice address

532 Gibson Dr Ste 100
Roseville, CA 95678-5878

Phone

(866) 564-3589

NPI assigned

Jun 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Flexcare, LLC

  • Nursing Care Agency
  • Roseville, CA
  • NPI 1518509199
  NPD (past)

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1700370772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SWINICK DR",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122078",
            "telephone_number": "570-687-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 GIBSON DR STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785878",
            "telephone_number": "866-564-3589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2812 Silver Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864428309",
            "country_code": "US",
            "telephone_number": "928-763-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARUSSA",
        "first_name": "REBECCA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "11267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolores Raquel Larry
• Cory James Larsen, PHARMD
• Kenneth L. Larson, PH.D.
• Melissa Larson, MS SLP
• Miranda Lynn Larson, CMT NMT
• Joanna Marie Lasalle, MS, LH, RS
• Tyler Laster
• Philip Glenn Latham, D.D.S.
• Latino Leadership Council
• Latino Leadership Council

• Speech-Language Pathologist in Roseville, CA
• Providers in Roseville, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.