Active NPI
Rivka R Braverman, L.P.N.
- Lactation Consultant (Non-RN)
- Memphis, TN
National Provider Identifier
1023547494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- Practice address
- 5050 Sanderlin Avenue
Memphis, TN 38117 - Phone
- (901) 683-9371
- Fax
- (901) 683-5503
- NPI assigned
- Jun 8, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | Primary | ||
| Licensed Practical Nurse | 164W00000X | LPN56646 | TN |
Addresses
Primary practice location
5050 Sanderlin Avenue
Memphis, TN 38117
Mailing address
5050 Sanderlin Avenue
Memphis, TN 38117
Phone (901) 683-9371
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 |
|---|---|---|---|
| LPN56646 | TN | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurelwood Pediatrics LLC | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1750416319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496880000000",
"number": "1023547494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 SANDERLIN AVENUE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38117",
"telephone_number": "901-683-9371",
"fax_number": "901-683-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 SANDERLIN AVENUE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38117",
"telephone_number": "901-683-9371",
"fax_number": "901-683-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVERMAN",
"first_name": "RIVKA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "L.P.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2017-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TN",
"license": "LPN56646",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.