Sara Rivenbark, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10804 Issued in FL

Practice address

4620 17TH St
Sarasota, FL 34235-1843

Phone

(941) 371-8820

NPI assigned

Jul 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Langlois Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1710463682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 AUSTIN ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318506",
            "telephone_number": "941-286-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 17TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342351843",
            "telephone_number": "941-371-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVENBARK",
        "first_name": "SARA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "10804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "LANGLOIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanna Ritter, BCABA
• Justine Ritter, PHD
• Mark A Ritter, MD PHD
• Melissa Rivadeneira
• Jorge Rivas-Carrillo, LCSW
• Christian Javier Rivera Carrero, MD
• Keishla Arleen Rivera-Martinez, MSW
• Desiree Rivera-Nieves, M.D.
• Alondra Stefany Rivera, MD
• Gerald Rivera

• Speech-Language Pathologist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.