Wendy Angeline Rivera, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN1001851 Issued in FL

Practice address

8380 Lagos de Campo Blvd Apt 208
Tamarac, FL 33321-8503

Phone

(954) 501-7724

NPI assigned

Jun 1, 2026

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1104758549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 LAGOS DE CAMPO BLVD APT 208",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333218503",
            "telephone_number": "954-501-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 LAGOS DE CAMPO BLVD APT 208",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333218503",
            "telephone_number": "954-501-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "WENDY",
        "middle_name": "ANGELINE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN1001851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley E Richter, MD
• Monthia Allison Ricketts, RN, BSN
• Audley Leonard Ridley Jr., O.D
• Joshua Riederman, DO
• Nicole Merida Rivera, LCSW
• Rivergate Family Resource Center, LLC.
• RM Schneider, M.D., P.a.
• Rma of Tamarac LLC
• Valerie Taryn Robbins
• Robert J. Fish, D.D.S.

• Licensed Practical Nurse in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.