Active NPI
Joseph Ryan Rivera, RN
- Registered Nurse
- Northampton, PA
National Provider Identifier
1205375201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN597105
- Practice address
- 1441 Washington Ave
Northampton, PA 18067-1635 - Phone
- (610) 428-2696
- NPI assigned
- Feb 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN597105 | PA | Primary |
| Registered Nurse | 163W00000X | 26NR18486100 | PA |
Addresses
Primary practice location
1441 Washington Ave
Northampton, PA 18067-1635
Mailing address
1441 Washington Ave
Northampton, PA 18067-1635
Phone (610) 428-2696
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR18486100 | PA | MD | Registered Nurse |
| RN597105 | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1205375201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 WASHINGTON AVE",
"city": "NORTHAMPTON",
"state": "PA",
"postal_code": "180671635",
"telephone_number": "610-428-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 WASHINGTON AVE",
"city": "NORTHAMPTON",
"state": "PA",
"postal_code": "180671635",
"telephone_number": "610-428-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "JOSEPH",
"middle_name": "RYAN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-23",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN597105",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "26NR18486100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.