Yashira Marie Rivera Lopez

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI3986 Issued in FL

Practice address

820 Cypress Pkwy Ste B
Kissimmee, FL 34759-3424

Phone

(407) 913-1010

Fax

(407) 992-8697

NPI assigned

Nov 20, 2019

Last updated

Nov 20, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy World LLC

  dba Therapy World

  • Clinic/Center
  • Kissimmee, FL
  • NPI 1053641001
  NPD (past)
• Therapy World LLC

  dba Kidoz Therapy World

  • Clinic/Center
  • Kissimmee, FL
  • NPI 1750913588
  NPD (past)

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1821634387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 S JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416319",
            "telephone_number": "407-913-1010",
            "fax_number": "407-992-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CYPRESS PKWY STE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593424",
            "telephone_number": "407-913-1010",
            "fax_number": "407-992-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA LOPEZ",
        "first_name": "YASHIRA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI3986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DOH STATE LICENSE",
            "identifier": "SI3986",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Rivera Fuentes
• Karlo Andres Rivera Gonzalez
• Litza Rivera Gonzalez
• Miriam L Rivera Irizarry, M.D.
• Alexander Rivera Legrand, PTA
• Amanda Therese Rivera Miranda, MD
• Mark Dediego Rivera Morales, MD
• Eduardo G Rivera Olivera, BT
• Gerson David Rivera Pineda
• Marieliz Rivera Ramirez, OTR

• Speech-Language Assistant in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.