Organization Active NPI

Medical Center Riviera PLLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1306421441
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MEDICAL CENTER RIVIERA PLLC
Practice address
3235 Hillcroft St
Houston, TX 77057-5805
Phone
(713) 637-4372
Fax
(832) 530-4287
NPI assigned
Mar 10, 2021
Last updated
Jun 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Sheree Lyons
Title
Authorized Official
Phone
(832) 683-4132

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

3235 Hillcroft St
Houston, TX 77057-5805

Mailing address

3235 Hillcroft St
Houston, TX 77057-5805
Phone (713) 637-4372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211001000463 TX Part B Supplier - Clinic/Group Practice 9830597020 Receives reassigned benefits from 3 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2253714Medical Center Riviera PLLC3235 Hillcroft Avenue, Houston, TX 77057Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

3235 Hillcroft Ave
Houston, TX 77057
Phone (713) 637-4372

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1306421441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 HILLCROFT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575805",
            "telephone_number": "713-637-4372",
            "fax_number": "832-530-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 HILLCROFT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575805",
            "telephone_number": "713-637-4372",
            "fax_number": "832-530-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER RIVIERA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "832-683-4132"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.