Active NPI
Lisa Katherine Rivera, D.O.
- Forensic Pathology Physician
- Honolulu, HI
National Provider Identifier
1366427395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- 02002823A
- Practice address
- 590 Moffet St, BLDG 4077
Joint Base Pearl Harbor-Hickam
Honolulu, HI 96853-5168 - Phone
- (808) 448-4500
- Fax
- (808) 448-4589
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 02002823A | IN | Primary |
Addresses
Primary practice location
590 Moffet St, BLDG 4077
Joint Base Pearl Harbor-Hickam
Honolulu, HI 96853-5168
Mailing address
92-243 Hoalii PL
Kapolei, HI 96707-2510
Phone (805) 218-6823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002823A | IN | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366427395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92-243 HOALII PL",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072510",
"telephone_number": "805-218-6823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 MOFFET ST, BLDG 4077",
"address_2": "JOINT BASE PEARL HARBOR-HICKAM",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968535168",
"telephone_number": "808-448-4500",
"fax_number": "808-448-4589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "LISA",
"middle_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "IN",
"license": "02002823A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.