Individual provider Active NPI

Tracee J Kirkland Rivers, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1346872033
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021491 Issued in PA
Practice address
6023 Harvard St
Pittsburgh, PA 15206-3053
Phone
(412) 661-2802
Fax
(412) 661-8020
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 SP021491 PA Primary

Addresses

Primary practice location

6023 Harvard St
Pittsburgh, PA 15206-3053

Mailing address

7157 Mary Peck Bond PL
Pittsburgh, PA 15206-1236
Phone (412) 661-2802

Other practice location 1

7157 Mary Peck Bond Pl
Pittsburgh, PA 15206-1236
Phone (412) 661-2802

Other practice location 2

1425 Forbes Ave Ste 200
Pittsburgh, PA 15219-5147
Phone (412) 661-2802

Other names 1

  • Mrs. Tracee J Kirkland Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20201203000050 PA Practitioner - Nurse Practitioner 0042621690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Liberty Family Health Care Center IncGroup PAC ID 2163496084, 20 clinicians

Practice addresses (Care Compare)

6023 Harvard St
Pittsburgh, PA 15206-3053
Phone (412) 661-2802

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Liberty Family Health Care Center, Inc. Current Accepting new patients
East Liberty Family Health Care Center, Inc. CurrentSince Jun 1, 2020 Accepting new patients
East Liberty Family Health Care Center, Inc. CurrentSince Jun 1, 2020 Accepting new patients
East Liberty Family Health Care Center Past Accepting new patients
East Liberty Family Health Care Center, Inc. Past Accepting new patients

Locations

7171 Churchland St
Pittsburgh, PA 15206
Phone (412) 361-8284

6023 Harvard St
Pittsburgh, PA 15206
Phone (412) 661-2802

1425 Forbes Ave
Fl 2
Pittsburgh, PA 15219
Phone (412) 303-2754

7157 Mary Peck Bond Pl
Pittsburgh, PA 15206
Phone (412) 345-0412

Interoperability endpoints

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

Organizations & group practices 5

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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1346872033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7157 MARY PECK BOND PL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061236",
            "telephone_number": "412-661-2802",
            "fax_number": "412-661-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6023 HARVARD ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063053",
            "telephone_number": "412-661-2802",
            "fax_number": "412-661-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7157 Mary Peck Bond Pl",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152061236",
            "country_code": "US",
            "telephone_number": "412-661-2802",
            "fax_number": "412-661-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Forbes Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152195147",
            "country_code": "US",
            "telephone_number": "412-661-2802",
            "fax_number": "412-661-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKLAND RIVERS",
        "first_name": "TRACEE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEE",
            "last_name": "KIRKLAND",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.