Kathy Rivera, MD. Center of Wellness, PLLC.

Primary specialty

SpecialistTaxonomy code 174400000X

License

Q1724 Issued in TX

Legal business name

KATHY RIVERA, MD. CENTER OF WELLNESS, PLLC.

Practice address

3550 Normand Dr
College Station, TX 77845-6399

Phone

(979) 703-8848

Fax

(979) 703-6485

NPI assigned

Mar 31, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kathy Rivera, MD

Title

Owner

Phone

(979) 703-8848

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1144615766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 CARLISLE CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458810",
            "telephone_number": "979-703-8848",
            "fax_number": "979-703-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 NORMAND DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456399",
            "telephone_number": "979-703-8848",
            "fax_number": "979-703-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY RIVERA, MD. CENTER OF WELLNESS, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-703-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "Q1724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in College Station, TX
• Providers in College Station, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.