Active NPI
Kristen Danielle Rivera
- Health Educator
- Taos, NM
National Provider Identifier
1174489686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 1003257924
- Practice address
- 630 Paseo del Pueblo Sur Ste 140
Taos, NM 87571-7002 - Phone
- (575) 201-3325
- NPI assigned
- Dec 29, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 1003257924 | NM | Primary |
Addresses
Primary practice location
630 Paseo del Pueblo Sur Ste 140
Taos, NM 87571-7002
Mailing address
920 Camino de la Serna
Taos, NM 87571-4367
Phone (505) 573-3669
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 |
|---|---|---|---|
| 1003257924 | NM | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1174489686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 CAMINO DE LA SERNA",
"city": "TAOS",
"state": "NM",
"postal_code": "875714367",
"telephone_number": "505-573-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 PASEO DEL PUEBLO SUR STE 140",
"city": "TAOS",
"state": "NM",
"postal_code": "875717002",
"telephone_number": "575-201-3325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "KRISTEN",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-29",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NM",
"license": "1003257924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.