Theola J Rivera, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704294800 Issued in MI

Practice address

8180 26 Mile Rd
Suite 100
Shelby Township, MI 48316-5129

Phone

(586) 336-7321

Fax

(586) 336-7356

NPI assigned

Nov 5, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: theolarivera@dwcmdpc.allscriptsdirect.net

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.

• Stony Creek Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Shelby Township, MI
  • NPI 1174993307
  NPD

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1073157756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 26 MILE RD",
            "address_2": "SUITE 100",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165129",
            "telephone_number": "586-336-7321",
            "fax_number": "586-336-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 26 MILE RD",
            "address_2": "SUITE 100",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165129",
            "telephone_number": "586-336-7321",
            "fax_number": "586-336-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "THEOLA",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704294800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Riddle, MPT
• Chanelle Desiree Ridgell-Levi
• Jumana Rifai, PHARMD
• Maria Antoinette Riggio
• Right at Home Care Services
• Julia Marie Rivers, DO
• Seniha Rizvi
• RM Medical Mi, PLLC
• Roam Dental PLLC
• Robert J Cardwell MD PLLC

• Family Nurse Practitioner in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.