Active NPI
Monica Rivera, ATC
- Athletic Trainer
- Stoneham, MA
National Provider Identifier
1013578301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2516
- Practice address
- 149 Franklin St
Stoneham, MA 02180-1504 - Phone
- (781) 279-3810
- NPI assigned
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2516 | MA | Primary |
Addresses
Primary practice location
149 Franklin St
Stoneham, MA 02180-1504
Mailing address
10 Linwood St Apt 203
Malden, MA 02148-5650
Phone (781) 315-1565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2516 | Other | MA | ALLIED HEALTH PROFESSIONAL |
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 |
|---|---|---|---|
| 2516 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1013578301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LINWOOD ST APT 203",
"city": "MALDEN",
"state": "MA",
"postal_code": "021485650",
"telephone_number": "781-315-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 FRANKLIN ST",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021801504",
"telephone_number": "781-279-3810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MONICA",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "2516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIED HEALTH PROFESSIONAL",
"identifier": "2516",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stoneham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.