Individual provider Active NPI

Isabel Bernadette Rivero

  • Primary Care Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1245049345
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5023556 Issued in NC
Practice address
6010 E W T Harris Blvd
Charlotte, NC 28215-4084
Phone
(704) 208-4134
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11036842 FL
Primary Care Nurse Practitioner 363LP2300X 5023556 NC Primary

Addresses

Primary practice location

6010 E W T Harris Blvd
Charlotte, NC 28215-4084

Mailing address

6010 E W T Harris Blvd
Charlotte, NC 28215-4084
Phone (704) 208-4134

Other practice location 1

720 NW 96th Ter
Pembroke Pines, FL 33024-6235
Phone (786) 286-9229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251208003542 FL Practitioner - Nurse Practitioner 1355835380 Reassigns benefits to 1 organization
I20260217004193 NC Practitioner - Nurse Practitioner 1355835380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2900 Corporate Way
Door D
Miramar, FL 33025-3925

6010 E W T Harris Blvd
Charlotte, NC 28215-4084

PO Box
Suite 44308
Charlotte, NC 28215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11036842FLMDPrimary Care Nurse Practitioner
5023556NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Oct 23, 2025 Accepting new patients
South Broward Hospital District CurrentSince Oct 23, 2025 Accepting new patients
South Broward Hospital District Current Accepting new patients
Amity Medical Group, Inc. CurrentSince Dec 31, 2025 Accepting new patients

Locations

1150 N 35th Ave
Ste 170
Hollywood, FL 33021
Phone (954) 985-1500

12235 Pines Blvd
Pembroke Pines, FL 33026
Phone (954) 265-1125

6010 E Wt Harris Blvd
Charlotte, NC 28215
Phone (704) 208-4134

7945 N Tryon St
Ste 112
Charlotte, NC 28262
Phone (704) 394-8968

9835 Monroe Rd
Ste B
Charlotte, NC 28270
Phone (704) 208-4134

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1245049345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 E W T HARRIS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154084",
            "telephone_number": "704-208-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 E W T HARRIS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154084",
            "telephone_number": "704-208-4134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 NW 96th Ter",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246235",
            "country_code": "US",
            "telephone_number": "786-286-9229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "ISABEL",
        "middle_name": "BERNADETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11036842",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5023556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.