Individual provider Active NPI

Karen Rivero Padron, RBT

  • Behavior Technician
  • Hialeah Gardens, FL
National Provider Identifier
1073080040
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-60407 Issued in FL
Practice address
8704 NW 112TH St
Hialeah Gardens, FL 33018-4597
Phone
(786) 395-5849
NPI assigned
Oct 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-60407 FL Primary

Addresses

Primary practice location

8704 NW 112TH St
Hialeah Gardens, FL 33018-4597

Mailing address

8704 NW 112TH St
Hialeah Gardens, FL 33018-4597
Phone (786) 395-5849

Other identifiers 1

IdentifierTypeStateIssuer
R161-500-89-956-0MedicaidFL

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

LicenseStateTypeSpecialty
RBT-18-60407FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1073080040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 NW 112TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184597",
            "telephone_number": "786-395-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8704 NW 112TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184597",
            "telephone_number": "786-395-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO PADRON",
        "first_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-60407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R161-500-89-956-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.