Active NPI
Rebecca Rivera, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Richardson, TX
National Provider Identifier
1124515077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 4026
- Practice address
- 3400 Waterview Pkwy Ste 305
Richardson, TX 75080-1566 - Phone
- (214) 295-6703
- NPI assigned
- Apr 17, 2018
- 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 |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 4026 | TX | Primary |
Addresses
Primary practice location
3400 Waterview Pkwy Ste 305
Richardson, TX 75080-1566
Mailing address
3400 Waterview Pkwy Ste 305
Richardson, TX 75080-1566
Phone (214) 295-6703
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4026 | TX | MD | Electroneurodiagnostic Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1124515077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 WATERVIEW PKWY STE 305",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750801566",
"telephone_number": "214-295-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 WATERVIEW PKWY STE 305",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750801566",
"telephone_number": "214-295-6703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "REBECCA",
"credential": "CNIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "TX",
"license": "4026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
- Ritz Wellness (Function Physical Therapy)
- Brenda Liz Rivera Vega, M.E.
- Doris Marie Rivera, RN,NNP-BC
- Emma Isabel Rivera, SLP
- Mariah Rivera
- Grace O. Rivers, R.D., L.D., C.D.E.
- Riverside Interventional Pain Center LLC
- Rmbo Enterprises LTD (Texas Therapy Centers of Richardson)
- Rmbo Enterprises LTD (Texas Therapy Centers of Richardson)
- RMC Medical Plaza Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.