Active NPI
Melissa Dawn Rivera
- Other Technician
- Chama, NM
National Provider Identifier
1225112998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- N/A
- Practice address
- HC 75 Box 49a
Chama, NM 87520-9701 - Phone
- (505) 759-7228
- NPI assigned
- Oct 25, 2006
- Last updated
- May 27, 2008
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | N/A | Primary |
Addresses
Primary practice location
HC 75 Box 49a
Chama, NM 87520-9701
Mailing address
HC 75 Box 49a
Chama, NM 87520-9701
Phone (505) 759-7228
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000K3526 | Medicaid | NM | |
| HSZ196 | Other | NM | MEDICARE PART B |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211846400000",
"number": "1225112998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 75 BOX 49A",
"city": "CHAMA",
"state": "NM",
"postal_code": "875209701",
"telephone_number": "505-759-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 75 BOX 49A",
"city": "CHAMA",
"state": "NM",
"postal_code": "875209701",
"telephone_number": "505-759-7228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MELISSA",
"middle_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2008-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": "N/A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000K3526",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "HSZ196",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chama, NM
- Margaret Antoinette Martinez, RDH, BS
- Suresh B Neelagaru, M.D.
- North Central Community Based Services, Inc.
- Northwest Regional Education Cooperative #2
- Patience Grasshopper Therapeutics
- Riverbear Counseling LLC
- Patricia Serna, LISW
- Kathleen Lesh Smith, L.M.T., C.N.M.T.
- Tara Terrazas, DPT
- Therapeutic Solutions of New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.