Active NPI
Alba C. Rivas
- Family Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1356955363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1002201
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1002201 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catapult Health PA | Single Specialty | Current | Accepting new patients |
| Catapult Health, LLC | Past | 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.
-
- Corporate Health Clinic/Center
- Dallas, TX
- NPI 1356629596
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.