Active NPI
Maria Elena Rivas, M.D.
- Pediatrics Physician
- Owensboro, KY
National Provider Identifier
1114138922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 17820
- Practice address
- 1003 Burlew Blvd
Suite C
Owensboro, KY 42303-1799 - Phone
- (270) 683-6848
- Fax
- (270) 685-4197
- NPI assigned
- May 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 17820 | WV | Primary |
Addresses
Primary practice location
1003 Burlew Blvd
Suite C
Owensboro, KY 42303-1799
Mailing address
1003 Burlew Blvd
Suite C
Owensboro, KY 42303-1799
Phone (270) 683-6848
Other names 1
- Dr. Maria Elena Rivas-Coutant
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17820 | WV | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114138922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 BURLEW BLVD",
"address_2": "SUITE C",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031799",
"telephone_number": "270-683-6848",
"fax_number": "270-685-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 BURLEW BLVD",
"address_2": "SUITE C",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031799",
"telephone_number": "270-683-6848",
"fax_number": "270-685-4197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "MARIA ELENA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "17820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA ELENA",
"last_name": "RIVAS-COUTANT",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.