Individual provider Active NPI

Sandra Berta Rivera, FNP-C

  • Family Nurse Practitioner
  • Plainview, TX
National Provider Identifier
1285654475
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
551813 Issued in TX
Practice address
2222 W 24TH St
Suite 6
Plainview, TX 79072-1802
Phone
(806) 293-5113
Fax
(806) 293-7491
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 551813 TX Primary

Addresses

Primary practice location

2222 W 24TH St
Suite 6
Plainview, TX 79072-1802

Mailing address

2520 Holliday Dr.
Plainview, TX 79072
Phone (806) 293-4553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150102000161 TX Practitioner - Nurse Practitioner 2466775275 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
551813TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Hospital Plainview Texas CurrentSince Oct 1, 2014 Accepting new patients
Methodist Hospital Plainview Texas CurrentSince Oct 1, 2014 Accepting new patients
Tony R. Loggins M.D. P.a. Past Accepting new patients

Locations

2222 W 24th St
Unit 6
Plainview, TX 79072
Phone (806) 293-5113

2606 Yonkers St
Plainview, TX 79072
Phone (806) 291-5120

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285654475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 HOLLIDAY DR.",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "79072",
            "telephone_number": "806-293-4553",
            "fax_number": "806-293-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W 24TH ST",
            "address_2": "SUITE 6",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721802",
            "telephone_number": "806-293-5113",
            "fax_number": "806-293-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "SANDRA",
        "middle_name": "BERTA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "551813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, TX

Sources for this page

Verify at the official NPI Registry.