Organization Active NPI

Kimberly a Rivera

  • Family Nurse Practitioner
  • Madisonville, LA
National Provider Identifier
1407425846
Registry record updated Aug 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
KIMBERLY A RIVERA
Practice address
126 Pontchartrain Oaks Dr
Madisonville, LA 70447-9642
Phone
(985) 974-1149
NPI assigned
Jun 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2021

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

Authorized official

Name
Mrs. Kimberly A Rivera, FNPNPI 1770152175
Title
Nurse Practitioner
Phone
(985) 640-1043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

126 Pontchartrain Oaks Dr
Madisonville, LA 70447-9642

Mailing address

5032 House Sparrow Dr
Madisonville, LA 70447-3032
Phone (985) 640-1043

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628985600000",
    "number": "1407425846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 HOUSE SPARROW DR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473032",
            "telephone_number": "985-640-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PONTCHARTRAIN OAKS DR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479642",
            "telephone_number": "985-974-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY A RIVERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-08-15",
        "certification_date": "2021-08-15",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "985-640-1043",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.