Individual provider Active NPI

Cherie Lynn River, MS-CCC-SLP

  • Speech-Language Pathologist
  • Glenshaw, PA
National Provider Identifier
1780711671
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL006123L Issued in PA
Practice address
3394 Saxonburg Blvd
Suite 620
Glenshaw, PA 15116-3168
Phone
(412) 767-5967
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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 SL006123L PA Primary
Occupational Therapist 225X00000X PA

Addresses

Primary practice location

3394 Saxonburg Blvd
Suite 620
Glenshaw, PA 15116-3168

Mailing address

3390 Saxonburg Blvd Ste 250
Glenshaw, PA 15116-3160
Phone (412) 767-5967

Other identifiers 1

IdentifierTypeStateIssuer
1020417940002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321000067 PA Practitioner - Qualified Speech Language Pathologist 0345580791 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SL006123LPAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
River Speech and Educational Services, Inc Speech-Language Pathologist CurrentSince Jan 1, 2008 Accepting new patients

Locations

3390 Saxonburg Blvd
Ste 250
Glenshaw, PA 15116
Phone (412) 767-5967

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1780711671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 SAXONBURG BLVD STE 250",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151163160",
            "telephone_number": "412-767-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 SAXONBURG BLVD",
            "address_2": "SUITE 620",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151163168",
            "telephone_number": "412-767-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVER",
        "first_name": "CHERIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL006123L",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020417940002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenshaw, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.