Justin B Rivas, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1001417 Issued in TX

Practice address

3502 9TH St Ste 430
Lubbock, TX 79415-3368

Phone

(806) 761-0535

Fax

(806) 761-0534

NPI assigned

Sep 7, 2026

Last updated

Oct 23, 2026By the provider in NPPES

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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1083523708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794161549",
            "telephone_number": "806-761-0333",
            "fax_number": "806-785-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 9TH ST STE 430",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153368",
            "telephone_number": "806-761-0535",
            "fax_number": "806-761-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "JUSTIN",
        "middle_name": "B",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1001417",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1001417",
            "primary": false
        }
    ],
    "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 Oct 23, 2026; 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.