River'S Shore Clinic CTC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

312890-31 Issued in WI

Legal business name

RIVER'S SHORE CLINIC CTC

Practice address

3707 N Richards St
Milwaukee, WI 53212-1673

Phone

(414) 967-7006

NPI assigned

Sep 9, 2016

Organization subpart

No

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

Authorized official

Name

Lapika Washington, MS, CSAC, ICS

Title

Clinical Director

Phone

(414) 967-7006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1093262891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8048 N CELINA ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532242904",
            "telephone_number": "414-750-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 N RICHARDS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121673",
            "telephone_number": "414-967-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER'S SHORE CLINIC CTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "LAPIKA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "414-967-7006",
        "authorized_official_credential": "MS, CSAC, ICS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WI",
            "license": "312890-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro Montes Rivas
• Jane A Rivas
• Kali M Rivas, M.D.
• River West Home Care Assistant, LLC
• River'S Shore Clinic
• River'S Shore Clinic CTC
• Brenda Esmeralda Rivera Caro, RDN
• Gladys Rivera Hernandez
• Angelique Rivera
• Cecilia Rivera, R.N.

• Health Maintenance Organization in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Health Maintenance Organization in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.