Amanda Liz Rivera

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

333607 Issued in NY

Practice address

50 Forest Dr Apt J
Garnerville, NY 10923-2168

Phone

(646) 463-4666

NPI assigned

Nov 18, 2024

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

• Amanda Liz Gomez Former 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": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1164247961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FOREST DR APT J",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109232168",
            "telephone_number": "646-463-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FOREST DR APT J",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109232168",
            "telephone_number": "646-463-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "AMANDA",
        "middle_name": "LIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "333607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GOMEZ",
            "middle_name": "LIZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rehab Plus Physical Therapy, PLLC
• Teresa Remedios
• Kally Reyes
• Karina Rivas
• Yanilda Rivas
• Shannon Robinson
• Rockland Eye Physicians & Surgeons, P.C.
• Rockland Medical Group, PLLC
• Mariany L Rojas Guzman
• Karen M. Rose, CCC-SLP

• Licensed Practical Nurse in Garnerville, NY
• Providers in Garnerville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.