Individual provider Active NPI

Lela S Rivers, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1174202063
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-151705 Issued in AL
Practice address
2119 E South Blvd Ste 200
Montgomery, AL 36116-2496
Phone
(334) 747-7070
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-151705 AL Primary

Addresses

Primary practice location

2119 E South Blvd Ste 200
Montgomery, AL 36116-2496

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005
Phone (334) 747-4159

Other practice location 1

1725 Pine St
Montgomery, AL 36106-1117
Phone (334) 293-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20240311003367 AL Practitioner - Nurse Practitioner 7517303654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2119 E S Blvd
Suite 200
Montgomery, AL 36116-2496
Phone (334) 613-7070

Hospital & facility affiliations

  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic Inc CurrentSince Feb 1, 2024 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Jun 1, 2024 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Jun 1, 2024 Accepting new patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
The Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients

Locations

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

470 Taylor Rd
Ste 201
Montgomery, AL 36117
Phone (334) 224-4439

2119 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 613-7070

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1174202063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005",
            "telephone_number": "334-747-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 E SOUTH BLVD STE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162496",
            "telephone_number": "334-747-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Pine St",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361061117",
            "country_code": "US",
            "telephone_number": "334-293-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "LELA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-151705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.