Susan Lynne Rives, LPN

Primary specialty

ContractorTaxonomy code 171W00000X

License

PN552801 Issued in FL

Practice address

16825 Tequesta TRL
Clermont, FL 34715-9466

Phone

(321) 230-1951

NPI assigned

Dec 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Susan Misdom Rives Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230076800000",
    "number": "1316183262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16825 TEQUESTA TRL",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347159466",
            "telephone_number": "321-230-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16825 TEQUESTA TRL",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347159466",
            "telephone_number": "321-230-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVES",
        "first_name": "SUSAN",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-24",
        "last_updated": "2008-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "PN552801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "RIVES",
            "middle_name": "MISDOM",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Contractor in Clermont, FL
• Providers in Clermont, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.