Madelyn Rivera, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

185072 Issued in MA

Practice address

140 Commonwealth Ave
Boston College-University Health Services Cushing Hall
Chestnut Hill, MA 02467-3800

Phone

(617) 552-2659

Fax

(617) 552-3603

NPI assigned

Mar 29, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1114988102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 COMMONWEALTH AVE",
            "address_2": "BOSTON COLLEGE-UNIVERSITY HEALTH SERVICES CUSHING HALL",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673800",
            "telephone_number": "617-552-2659",
            "fax_number": "617-552-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COMMONWEALTH AVE",
            "address_2": "BOSTON COLLEGE-UNIVERSITY HEALTH SERVICES CUSHING HALL",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673800",
            "telephone_number": "617-552-2659",
            "fax_number": "617-552-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MADELYN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "185072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0343251",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.