Individual provider Active NPI

Doramis Rivera, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1316690779
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11017754 Issued in FL
Practice address
10236 N Valle Dr
Tampa, FL 33612-6571
Phone
(813) 403-2601
NPI assigned
Jan 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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 APRN11017754 FL Primary

Addresses

Primary practice location

10236 N Valle Dr
Tampa, FL 33612-6571

Mailing address

10236 N Valle Dr
Tampa, FL 33612-6571
Phone (813) 403-2601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20221213000791 FL Practitioner - Nurse Practitioner 6204205313 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promed Preferred FL 2 PLLCGroup PAC ID 8426588708, 11 clinicians
Freedom Health and Wellness LLCGroup PAC ID 0345425856, 3 clinicians

Practice addresses (Care Compare)

Seminole, FL 33777
Phone (615) 499-3165

9400 San Jose Blvd
Howey in the Hills, FL 34737-5012
Phone (352) 409-4404

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hyper Healing Family CurrentSince Oct 10, 2023 Accepting new patients
Pain & Wellness Institute PA CurrentSince Sep 2, 2022 Accepting new patients
Riveras Health & Farm LLC Family CurrentSince Jan 13, 2026 Accepting new patients
Dol Physicians of America CurrentSince May 12, 2024 Accepting new patients
Freedom Health and Wellness LLC CurrentSince Mar 3, 2025 Accepting new patients

Locations

162 W Robertson St
Brandon, FL 33511
Phone (813) 591-4590

4509 N Armenia Ave
Tampa, FL 33603
Phone (813) 841-8553

4915 Ehrlich Rd
Tampa, FL 33624
Phone (813) 264-6334

9275 Medical Plaza Dr
Ste F
North Charleston, SC 29406
Phone (803) 767-4465

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1316690779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10236 N VALLE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126571",
            "telephone_number": "813-403-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10236 N VALLE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126571",
            "telephone_number": "813-403-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "DORAMIS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.