Justin B Rivas

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1001417 Issued in TX

Practice address

602 Indiana Ave
Lubbock, TX 79415-3364

Phone

(896) 775-8200

NPI assigned

Sep 7, 2026

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1083523708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY FL 2",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153364",
            "telephone_number": "896-775-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "JUSTIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1001417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine N. Rivas Sevilla, MD
• Alexandria Loren Rivas, MD
• Amy Katherine Rivas, MSN, RN, FNP-BC
• Elizabeth Rae Rivas, M.D.
• Justin Rivas
• Sammy Dale Rivas, M.D.
• Rivera MHT LLC
• Alan Javier Rivera, CAA
• Diego Rivera, MDPA
• Jesse Leann Rivera, FNP

• Gerontology Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.