Individual provider Active NPI

Javier Jesus Suarez Rivera

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1134699838
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4018518 Issued in KY
Practice address
11415 Caswell Springs Way
Louisville, KY 40291-8325
Phone
(502) 298-9121
NPI assigned
Nov 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11034541 FL
Family Nurse Practitioner 363LF0000X 4018518 KY Primary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X
Nurse Practitioner 363L00000X 4018518 KY
Family Nurse Practitioner 363LF0000X 95034053 CA
Family Nurse Practitioner 363LF0000X 209-03153401 IL
Family Nurse Practitioner 363LF0000X 20903153401 IL
Family Nurse Practitioner 363LF0000X 209.031534 IL

Addresses

Primary practice location

11415 Caswell Springs Way
Louisville, KY 40291-8325

Mailing address

11415 Caswell Springs Way
Louisville, KY 40291-8325
Phone (502) 298-9121

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

LicenseStateTypeSpecialty
4018518KYMDNurse Practitioner
95034053CAMDFamily Nurse Practitioner
11034541FLMDFamily Nurse Practitioner
209-03153401ILMDFamily Nurse Practitioner
209.031534ILMDFamily Nurse Practitioner
20903153401ILMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1134699838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11415 CASWELL SPRINGS WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402918325",
            "telephone_number": "502-298-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 CASWELL SPRINGS WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402918325",
            "telephone_number": "502-298-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ RIVERA",
        "first_name": "JAVIER",
        "middle_name": "JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11034541",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4018518",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4018518",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034053",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-03153401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "20903153401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.031534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.