Active NPI
Sandra Berta Rivera, FNP-C
- Family Nurse Practitioner
- Plainview, TX
National Provider Identifier
1285654475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 551813
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 551813 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Hospital Plainview Texas | Current | Accepting new patients | |
| Methodist Hospital Plainview Texas | Current | 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.
-
dba Covenant Hospital Plainview
- General Acute Care Hospital
- Plainview, TX
- NPI 1831220904
-
dba Covenant Hospital Plainview
- Ambulatory Surgical Clinic/Center
- Plainview, TX
- NPI 1174630198
-
- Family Medicine Physician
- Plainview, TX
- NPI 1295923290
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.