Riverside Interventional Pain Center LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

RIVERSIDE INTERVENTIONAL PAIN CENTER LLC

Practice address

1778 N Plano Rd
Suite 300B
Richardson, TX 75081-1968

Phone

(972) 231-9770

Fax

(972) 231-9761

NPI assigned

Mar 27, 2015

Organization subpart

No

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

Authorized official

Name

Tracy Walls

Title

President

Phone

(972) 234-4740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1245624113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674102",
            "telephone_number": "972-479-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 N PLANO RD",
            "address_2": "SUITE 300B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811968",
            "telephone_number": "972-231-9770",
            "fax_number": "972-231-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE INTERVENTIONAL PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-234-4740"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Marie Rivera, RN,NNP-BC
• Emma Isabel Rivera, SLP
• Mariah Rivera
• Rebecca Rivera, CNIM
• Grace O. Rivers, R.D., L.D., C.D.E.
• Rmbo Enterprises LTD (Texas Therapy Centers of Richardson)
• Rmbo Enterprises LTD (Texas Therapy Centers of Richardson)
• RMC Medical Plaza Pharmacy
• RMR Healthcare Richardson, LLC (Remington Medical Resort- Richardson)
• Elizabeth A Roan, LPC

• Certified Registered Nurse Anesthetist in Richardson, TX
• Providers in Richardson, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.