Joann Marie Ciardullo-Rivera, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

602840-1 Issued in NY

Practice address

2 Dublin LN
Poughkeepsie, NY 12603-2014

Phone

(914) 299-1583

NPI assigned

Jun 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jo-Ann Marie Rivera Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1154771723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DUBLIN LN",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032014",
            "telephone_number": "914-299-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUBLIN LN",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032014",
            "telephone_number": "914-299-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIARDULLO-RIVERA",
        "first_name": "JOANN",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "602840-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "132845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO-ANN",
            "last_name": "RIVERA",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Chu, ATC
• Adam Kevin Chubak, M.D.
• Kerry Christian Chukwu-Onuoha, LMSW
• Nneka Ubeyi Chukwu, MD
• Dennis Joseph Chute, M.D.
• Jennifer Cibelli, LPN
• Meghan Cibelli, MSW
• Anthony Michael Cicalese, PA-C
• Diane Cicatello, MD
• Anastacia Cilione, LPN

• All providers in Poughkeepsie, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.