Individual provider Active NPI

Christine L. Rivest, PA-C

  • Medical Physician Assistant
  • Westmoreland, TN
National Provider Identifier
1306923529
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01473 Issued in TN
Practice address
1124 Hwy 52 East Ste 3
Alpha Medical Associates
Westmoreland, TN 37186
Phone
(615) 644-4203
Fax
(615) 644-4228
NPI assigned
Nov 1, 2006
Last updated
Jun 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601003272 MI
Medical Physician Assistant 363AM0700X PA01473 TN Primary

Addresses

Primary practice location

1124 Hwy 52 East Ste 3
Alpha Medical Associates
Westmoreland, TN 37186

Mailing address

209 College Street
Alpha Medical Associates
Lafayette, TN 37083
Phone (615) 666-2056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070816000640 TN Practitioner - Physician Assistant 0840207981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anova Medical Associates, PLCGroup PAC ID 8325372741, 130 clinicians

Practice addresses (Care Compare)

1156 Nashville Pike
Gallatin, TN 37066-3110
Phone (615) 989-1088

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1473TNMDProfessional Counselor
5601003272MIMDMedical Physician Assistant
PA01473TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Regional Medical Center LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: crivest@yourcarecommunity.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1306923529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 COLLEGE STREET",
            "address_2": "ALPHA MEDICAL ASSOCIATES",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "37083",
            "telephone_number": "615-666-2056",
            "fax_number": "615-666-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 HWY 52 EAST STE 3",
            "address_2": "ALPHA MEDICAL ASSOCIATES",
            "city": "WESTMORELAND",
            "state": "TN",
            "postal_code": "37186",
            "telephone_number": "615-644-4203",
            "fax_number": "615-644-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVEST",
        "first_name": "CHRISTINE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003272",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA01473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmoreland, TN

Sources for this page

Verify at the official NPI Registry.