Active NPI
Grace Rivera, APRN
- Family Nurse Practitioner
- Sunrise, FL
National Provider Identifier
1386229946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11008928
- Practice address
- 1000 Sawgrass Corporate Pkwy Ste 100
Sunrise, FL 33323-2870 - Phone
- (754) 200-4361
- NPI assigned
- Mar 16, 2021
- 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 | 11008928 | FL | Primary |
Addresses
Primary practice location
1000 Sawgrass Corporate Pkwy Ste 100
Sunrise, FL 33323-2870
Mailing address
1000 Sawgrass Corporate Pkwy Ste 100
Sunrise, FL 33323-2870
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | grace@mhsstaff.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11008928 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1386229946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SAWGRASS CORPORATE PKWY STE 100",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SAWGRASS CORPORATE PKWY STE 100",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232870",
"telephone_number": "754-200-4361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "GRACE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11008928",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "grace@mhsstaff.com",
"affiliation": "N",
"address_1": "1000 Sawgrass Corporate Pkwy Ste 100",
"city": "Sunrise",
"state": "FL",
"country_code": "US",
"postal_code": "333232870",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.