Raquel Ivet Rivas, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP10626 Issued in AZ

Practice address

4110 N 108TH Ave Ste 105
Phoenix, AZ 85037-5772

Phone

(623) 772-6999

Fax

(623) 772-6444

NPI assigned

Oct 12, 2017

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

Other names 1

• Raquel Ivet Fox Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Digestive Health & Wellness, LLC

  • Gastroenterology Physician
  • Phoenix, AZ
  • NPI 1881077279
  Medicare reassignment NPD
• Westview Family Medicine, P.C.

  • Family Medicine Physician
  • Avondale, AZ
  • NPI 1922204155
  Medicare reassignment NPD
• Regen Plus Inc

  • Clinic/Center
  • Glendale, AZ
  • NPI 1306551569
  NPD

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1154832574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 N 108TH AVE STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375772",
            "telephone_number": "623-772-6999",
            "fax_number": "623-772-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 N 108TH AVE STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375772",
            "telephone_number": "623-772-6999",
            "fax_number": "623-772-6444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7257 W State Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853032008",
            "country_code": "US",
            "telephone_number": "602-818-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "RAQUEL",
        "middle_name": "IVET",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAQUEL",
            "last_name": "FOX",
            "middle_name": "IVET",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kirsten Rivas-Andrews, FNP-C
• Edward Michael Rivas, CRNA
• Erika Rivas, APRN
• Marcelino Antonio Rivas
• Maria Rivas, RN
• Susan Rivas, DNP
• Tiarah Rivas, RN
• Tristyn Rivas, LMSW
• Xyomara Emma Rivas, MD
• Brian R Riveland, M.D.

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.