Ileana Ivelisse Rivera, CPI

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

3162-160-065-6023 Issued in MA

Practice address

465 S Grady Ave
Lakeland, FL 33815-4017

Phone

(863) 660-4180

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Onestop Institute, LLC

  • Phlebotomy Technician
  • Lakeland, FL
  • NPI 1275296667
  NPD Authorized official

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1023759826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N MASSACHUSETTS AVE STE 1",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338011747",
            "telephone_number": "863-602-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 S GRADY AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338154017",
            "telephone_number": "863-660-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ILEANA",
        "middle_name": "IVELISSE",
        "name_prefix": "Ms.",
        "credential": "CPI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MA",
            "license": "3162-160-065-6023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275296667",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis O. Rivera-Gonzalez, LCSW
• Andrew Rivera, DPT
• Andrew Rivera, MD, MS
• Claudia Rivera
• Erin Walley Rivera, LCSW
• Ivan Rivera, MD
• Maria Denisse Rivera
• Maribel Rivera, RDN, LD, BCBC
• Nydia Esther Rivera, COTA
• Susan Rivera

• Phlebotomy Technician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Phlebotomy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.