Active NPI
Valentina Krasteva Rivera
- General Practice Registered Nurse
- Eastsound, WA
National Provider Identifier
1154891620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- RN60885597
- Practice address
- 2220 Enchanted Forest Rd
Eastsound, WA 98245-9305 - Phone
- (540) 742-5299
- NPI assigned
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN60885597 | WA | Primary |
Addresses
Primary practice location
2220 Enchanted Forest Rd
Eastsound, WA 98245-9305
Mailing address
PO Box 1405
Eastsound, WA 98245-1405
Phone (540) 742-5299
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60885597 | WA | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1154891620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1405",
"city": "EASTSOUND",
"state": "WA",
"postal_code": "982451405",
"telephone_number": "540-742-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 ENCHANTED FOREST RD",
"city": "EASTSOUND",
"state": "WA",
"postal_code": "982459305",
"telephone_number": "540-742-5299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "VALENTINA",
"middle_name": "KRASTEVA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "WA",
"license": "RN60885597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eastsound, WA
- Public Hospital District No 2 Skagit County Washington
- Public Hospital District No 2 Skagit County Washington
- Public Hospital District No 2 Skagit County Washington
- Public Hospital District No 2 Skagit County Washington
- Erin Quies, LMP
- David Lee Russell, MD
- San Juan County Fire No 2
- San Juans Vision Care P.S.
- Keely Scott, LMP
- David Clayton Shinstrom, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.