Angela Yvonne Rivers, L.M.T.

Primary specialty

Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X

License

MA41062 Issued in FL

Practice address

839 S Highway 19
Palatka, FL 32177-9396

Phone

(386) 312-8309

NPI assigned

Jul 11, 2007

Last updated

Jul 11, 2007By the provider in NPPES

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

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1184823015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 S HIGHWAY 19",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321779396",
            "telephone_number": "386-312-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 S HIGHWAY 19",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321779396",
            "telephone_number": "386-312-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "ANGELA",
        "middle_name": "YVONNE",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": "FL",
            "license": "MA41062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard a Perallon DMD PA
• Ride Solution, Inc
• Whitney Lane Rigdon, APRN
• Mark Salvatore Ritchie, PA-C
• Maria-Josefina Santos Rivera, MD
• Phillip Martin Robbins, DMD
• Robert B Dehgan MD PA
• Robert de la Torre MD PA
• Morgann D. Robinson, PHARM.D.
• Ashlea Rombach

• Medical Art Specialist/Technologist in Palatka, FL
• Providers in Palatka, FL by specialty
• Medical Art Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.