Hannah Rivero
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bonsall, CA
NPI 1114600582 · NPPES record last updated Aug 10, 2023
Key facts
- NPI
- 1114600582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 95026616 (CA)
- Practice address
- 5405 Meridian PL
Bonsall, CA 92003-3739 - Phone
- (951) 381-0658
- NPI assigned
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nashville Brain Institute
Practice addresses (Care Compare)
2410 Patterson St
Suite 210
Nashville, TN 37203-1553
Phone (615) 457-8585
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231130000375 | TN | Practitioner - Nurse Practitioner | 8426412586 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95026616 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashville Brain Institute | Current |
Accepting new patients |
Locations
7110 Crossroads Blvd
Ste 400
Brentwood, TN 37027
Phone (615) 208-9499
2410 Patterson St
Ste 210
Nashville, TN 37203
Phone (615) 340-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95026616 | CA | Yes |
Addresses
Primary practice location
5405 Meridian PL
Bonsall, CA 92003-3739
Mailing address
5405 Meridian PL
Bonsall, CA 92003-3739
Phone (951) 381-0658
Other providers in Bonsall, CA
- Ashley Brooke Nieto
- William Odom III
- Optima Urgent Care Inc
- Monique S Overstreet
- Randy D Carlson DMD Adc and Charles L Drury DDS Aegd Apc
- Christina Michelle Roberts
- Parker J. Ruiz
- Sage Individual and Marriage Counseling, Inc
- Shahid Javery MD a Professional Corporation
- Michele Linden Shaw
All providers in Bonsall, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.