Tara Marie Ysabel Rivera

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

9031 W la Madre Way
Las Vegas, NV 89149-3536

Phone

(702) 417-4753

NPI assigned

Apr 26, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1134701501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 NAVARRE LN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890145101",
            "telephone_number": "702-856-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 W LA MADRE WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493536",
            "telephone_number": "702-417-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "TARA",
        "middle_name": "MARIE YSABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalba Rivera
• Sarah Rivera
• Sheila Rivera
• Soljulia Rivera
• Soraida Nanette Rivera
• Teresa Rivera
• Valeria Rivera
• Vilmarie Rivera
• Xareny Rivera, PMHNP-BC
• Yared Rivera

• Case Manager/Care Coordinator in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Case Manager/Care Coordinator in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.