Individual provider Active NPI

Alba C. Rivas

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1356955363
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1002201 Issued in TX
Practice address
6958 Legato LN
Fort Worth, TX 76134-3727
Phone
(682) 283-5379
NPI assigned
Sep 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1002201 TX Primary

Addresses

Primary practice location

6958 Legato LN
Fort Worth, TX 76134-3727

Mailing address

PO Box 60381
Fort Worth, TX 76115-6381
Phone (682) 283-5379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240318003173 TX Practitioner - Nurse Practitioner 3375980048 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1002201TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catapult Health PA Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Catapult Health, LLC PastSince Dec 1, 2025 Accepting new patients

Locations

5294 Belt Line Rd
Ste 200
Dallas, TX 75254
Phone (214) 785-2200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1356955363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60381",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761156381",
            "telephone_number": "682-283-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6958 LEGATO LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761343727",
            "telephone_number": "682-283-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "ALBA",
        "middle_name": "C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1002201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.