Jeffrey Rivera, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN 9172784 Issued in FL

Practice address

709 N Rennes CT
Kissimmee, FL 34759-3863

Phone

(321) 624-9949

Fax

(407) 264-6742

NPI assigned

Aug 7, 2007

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Gencare Kids, LLC

  • Medically Fragile Infants and Children Day Care
  • Kissimmee, FL
  • NPI 1609488840
  NPD Authorized official
• Christian Oriented Evangelistic Healthcare Ministry, Inc

  • Nursing Care Agency
  • Kissimmee, FL
  • NPI 1972188001
  Authorized official Same address or phone
• I-Care You

  • Developmental Disabilities Clinic/Center
  • Kissimmee, FL
  • NPI 1447719661
  NPD

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1326239070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N RENNES CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593863",
            "telephone_number": "321-624-9949",
            "fax_number": "407-264-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N RENNES CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593863",
            "telephone_number": "321-624-9949",
            "fax_number": "407-264-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JEFFREY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "FL",
            "license": "RN 9172784",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN 9172784",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN 9172784",
            "primary": true
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "FL",
            "license": "RN 9172784",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "FL",
            "license": "RN 9172784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enrique A. Rivera
• Genesies Sarai Rivera
• Ivelisse Rivera, MA
• Jaime M Rivera, M.D.
• Jaxaira Rivera
• Jeielys Rivera
• Jennifer Rivera
• Jonathan Rivera
• Jose Rivera
• Jose A Rivera, MANAGING CONTROL CEO

• Home Health Registered Nurse in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.