Lisa J Rivera, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25651 Issued in SC

Practice address

176 McSwain Dr
West Columbia, SC 29169-4825

Phone

(803) 767-4465

NPI assigned

May 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ, SC2 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Crescent Health Partners

  • Multi-Specialty Clinic/Center
  • Sumter, SC
  • NPI 1568207702
  Medicare reassignment NPD Authorized official
• Health Providers of America, LLC

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
  • NPI 1316560972

  SC

  Medicare reassignment Care Compare group NPD
• Hyper Healing

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • North Charleston, SC
  • NPI 1508381567

  Family

  Medicare reassignment NPD
• Centrastate Specialists, P.C.

  • Nurse Practitioner
  • Freehold, NJ
  • NPI 1700389301
  Medicare reassignment NPD
• Bevid Health LLC

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1982395521
  Medicare reassignment

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1245852631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 MEDICAL PLAZA DR STE F",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069140",
            "telephone_number": "803-767-4465",
            "fax_number": "803-767-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MCSWAIN DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694825",
            "telephone_number": "803-767-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LISA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01032600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.WOUNDEXPERT.COM",
            "affiliation": "N",
            "endpointDescription": "SOFTWARE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "176 McSwain Dr",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Brazell Ridenhour, M.D.
• Shelby Rider
• Thayra Rios Schad, PHARMD
• Kimberly Davis Ritchie, RN
• Nubia Rivas, PA-C
• Sandra Marie Rizzo, CRNP
• James Braden Robbins
• Eric D Roberts, PA
• Michael C. Roberts, MD
• Vicki S Roberts, P.A.-C

• Family Nurse Practitioner in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.