Active NPI
Henry Rivera
- Family Nurse Practitioner
- Anchorage, AK
National Provider Identifier
1144859562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 258498
- Practice address
- 4320 Diplomacy Dr
Anchorage, AK 99508-5925 - Phone
- (907) 726-3300
- NPI assigned
- Apr 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 258498 | AK | Primary |
| Family Nurse Practitioner | 363LF0000X | CNP201155 | ME | |
| Family Nurse Practitioner | 363LF0000X | APRN11005577 | FL |
Addresses
Primary practice location
4320 Diplomacy Dr
Anchorage, AK 99508-5925
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 726-7269
Other practice location 1
4627 NW 53rd Ave
Gainesville, FL 32653-4857
Phone (352) 335-8888
Other practice location 2
394 Bar Harbor Rd
Trenton, ME 04605-5807
Phone (207) 667-5899
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11005577 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzman, Tanis, Pittell, Levin and Jacobson | Past | Accepting new patients | |
| Saltzman, Tanis, Pittel, Levin and Jacobson, LLC | Past | Accepting new patients | |
| Mount Desert Island Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Community Dental Center
- Dental Clinic/Center
- Southwest Harbor, ME
- NPI 1235553413
-
dba Pediatric Associates
- Pediatrics Physician
- Gainesville, FL
- NPI 1538826979
-
dba Pediatric Associates
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1144859562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7033 E TUDOR RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071262",
"telephone_number": "907-726-7269",
"fax_number": "907-729-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 DIPLOMACY DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085925",
"telephone_number": "907-726-3300"
}
],
"practiceLocations": [
{
"address_1": "4627 NW 53rd Ave",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326534857",
"country_code": "US",
"telephone_number": "352-335-8888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "394 Bar Harbor Rd",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "ME",
"postal_code": "046055807",
"country_code": "US",
"telephone_number": "207-667-5899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "HENRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-07",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "258498",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP201155",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11005577",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.