Rivera Geriatrics LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

RIVERA GERIATRICS LLC

Practice address

1790 Paailuna Way
Pearl City, HI 96782-1409

Phone

(808) 466-9113

Fax

(808) 427-3131

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Ashley C Rivera, APRN-RXNPI 1437451903

Title

Nurse Practitioner

Phone

(808) 466-9113

Specialties & licenses 1

Addresses

Other names 1

• Caring Corner Hawaii Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22234/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Cerezo Rivera, APRN-RX

  • Gerontology Nurse Practitioner
  • Pearl City, HI
  • NPI 1437451903
  Medicare reassignment NPD Authorized official
• Jennifer Karen Zielinski, APRN

  • Primary Care Nurse Practitioner
  • Easton, PA
  • NPI 1336881200
  NPD

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1003424490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 PAAILUNA WAY",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967821409",
            "telephone_number": "808-466-9113",
            "fax_number": "808-427-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 PAAILUNA WAY",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967821409",
            "telephone_number": "808-466-9113",
            "fax_number": "808-427-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA GERIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "808-466-9113",
        "authorized_official_credential": "APRN-RX"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Corner Hawaii",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caring Corner Hawaii",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nongkhran Reynolds
• Richard Reynolds
• Christina K Rezentes, LMHC
• Aaron Ricciarelli, IDC
• Ward E Rider, DC
• Ashley Cerezo Rivera, APRN-RX
• Robb T. Shibayama, O.D., Inc.
• Robert K. Azama, D.M.D.
• Vance Rodrigues
• Liliana Rodriguez

• Nurse Practitioner in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.