Active NPI
Stephanie R Rives, CRNP
- Acute Care Nurse Practitioner
- Fayetteville, TN
National Provider Identifier
1265985931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1-105039
- Practice address
- 18 Ivy Dr
Fayetteville, TN 37334-7287 - Phone
- (931) 580-7947
- NPI assigned
- Jul 29, 2016
- Last updated
- Jul 29, 2016
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1-105039 | AL | Primary |
Addresses
Primary practice location
18 Ivy Dr
Fayetteville, TN 37334-7287
Mailing address
18 Ivy Dr
Fayetteville, TN 37334-7287
Phone (931) 580-7947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-105039 | AL | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1265985931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 IVY DR",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373347287",
"telephone_number": "931-580-7947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 IVY DR",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373347287",
"telephone_number": "931-580-7947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVES",
"first_name": "STEPHANIE",
"middle_name": "R",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-29",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AL",
"license": "1-105039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.