Individual provider Active NPI

Lourdes Milagros Rivera, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1265033005
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010080 Issued in FL
Practice address
4500 Pleasant Hill Rd
Kissimmee, FL 34746-2724
Phone
(407) 944-9030
NPI assigned
Nov 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11010080 FL Primary

Addresses

Primary practice location

4500 Pleasant Hill Rd
Kissimmee, FL 34746-2724

Mailing address

4500 Pleasant Hill Rd
Kissimmee, FL 34746-2724
Phone (407) 944-9030

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
I20230905001951 FL Practitioner - Nurse Practitioner 4981067287 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11010080FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Hearts Family Medical Centers, LLC CurrentSince Oct 27, 2023 Accepting new patients
Children'S Health Alliance, LLC Past Accepting new patients
Pediatrics and Family Care LLC Past Accepting new patients

Locations

1743 Park Center Dr
Ste 300
Orlando, FL 32835
Phone (407) 378-7169

2135 S Congress Ave
Ste 4A
Palm Springs, FL 33406
Phone (561) 965-6333

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEDIDD

Organizations & group practices 3

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": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1265033005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PLEASANT HILL RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462724",
            "telephone_number": "407-944-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PLEASANT HILL RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462724",
            "telephone_number": "407-944-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LOURDES",
        "middle_name": "MILAGROS",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.