Individual provider Active NPI

Nestor Rivera, ARNP

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1205411451
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012454 Issued in FL
Practice address
1507 N John Young Pkwy Ste B
Kissimmee, FL 34741-3214
Phone
(800) 202-6968
NPI assigned
Mar 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F0221093 FL
Family Nurse Practitioner 363LF0000X APRN11012454 FL Primary

Addresses

Primary practice location

1507 N John Young Pkwy Ste B
Kissimmee, FL 34741-3214

Mailing address

1507 N John Young Pkwy Ste B
Kissimmee, FL 34741-3214
Phone (800) 202-6068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250314000837 FL Practitioner - Nurse Practitioner 5991227381

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0221093FLMDNurse Practitioner
APRN11012454FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: nestor.rivera@chealth.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1205411451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 N JOHN YOUNG PKWY STE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347413214",
            "telephone_number": "800-202-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 N JOHN YOUNG PKWY STE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347413214",
            "telephone_number": "800-202-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "NESTOR",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-09",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "F0221093",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.