Lesley Genevieve Rivers
Individual provider Active NPI Land Ambulance · Alberta, VA
NPI 1194357962 · NPPES record last updated Feb 10, 2020
Key facts
- NPI
- 1194357962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Land Ambulance 3416L0300X
- Practice address
- 142 Samford St
Alberta, VA 23821-2334 - Phone
- (804) 617-6457
- NPI assigned
- Feb 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | VA | Yes |
Addresses
Primary practice location
142 Samford St
Alberta, VA 23821-2334
Mailing address
142 Samford St
Alberta, VA 23821-2334
Phone (804) 617-6457
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5678 | Other | VA | NON EMERGENCY MEDICAL TRANSPORTATION |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | JUNIESLADY044@GMAIL.COM |
Other providers in Alberta, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.