Active NPI
Leticia Rivas, MA-CCC/SLP
- Speech-Language Pathologist
- San Antonio, TX
National Provider Identifier
1932473469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18629
- Practice address
- 10221 Desert Sands St Ste 111
San Antonio, TX 78216-3944 - Phone
- (210) 348-7529
- NPI assigned
- Mar 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 18629 | TX | Primary |
Addresses
Primary practice location
10221 Desert Sands St Ste 111
San Antonio, TX 78216-3944
Mailing address
10221 Desert Sands St Ste 111
San Antonio, TX 78216-3944
Phone (210) 348-7529
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18629 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1932473469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10221 DESERT SANDS ST STE 111",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782163944",
"telephone_number": "210-348-7529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10221 DESERT SANDS ST STE 111",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782163944",
"telephone_number": "210-348-7529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "LETICIA",
"credential": "MA-CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "18629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.