Tierra S Rivers

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

76417 Issued in SC

Practice address

2702 W Surrey Dr
North Charleston, SC 29405-5513

Phone

(843) 817-6803

NPI assigned

Jul 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tierra S Rivers Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1144839101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 W SURREY DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294055513",
            "telephone_number": "843-817-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 W SURREY DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294055513",
            "telephone_number": "843-817-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "TIERRA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "SC",
            "license": "76417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIERRA",
            "last_name": "RIVERS",
            "middle_name": "S",
            "credential": "CERTIFIED HAIR LOSS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rivers Avenue Dental Health Center
• Antonio Lamar Rivers, HAIR LOSS SPECIALIS
• Chiquita Rivers
• Christopher Poston Rivers, D.M.D.
• Shante Rivers, RN
• Sara Rizzi-Mora, RN
• Sierra Laster Roach, PA-C
• Amanda Roberts
• Charles Stewart Roberts, MD
• Earnestine Roberts, RN

• Prosthetics Case Management in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Prosthetics Case Management in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.