Charlene Rivera, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11023050 Issued in FL

Practice address

3161 Dykes Rd
Miramar, FL 33027-4214

Phone

(954) 450-3550

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Gastroenterology and Hepatology Associates of South Florida

  • Gastroenterology Physician
  • Pembroke Pines, FL
  • NPI 1942244868
  Medicare reassignment
• Value Healthcare Partners

  • Preferred Provider Organization
  • Miami, FL
  • NPI 1316763394
  NPD (past)

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1033820923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 DYKES RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274214",
            "telephone_number": "954-450-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 DYKES RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274214",
            "telephone_number": "954-450-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "CHARLENE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Rivas
• Niurys Rivera Diaz
• Dianne Rivera Dominguez, RBT
• Roberto Javier Rivera Perez
• Carlos Alfonso Rivera, COUNSELOR
• Denise Rivera
• Felipe Rivera, L.M.T
• Jessica Esther Rivera, PSY.D.
• Samuel Adolfo Rivera
• Sara Rivera

• Family Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.