Individual provider Active NPI

Janet Olmeda Rivera

  • Physician Assistant
  • Parrish, FL
National Provider Identifier
1417408311
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109831 Issued in FL
Practice address
12271 US Highway 301 N
Parrish, FL 34219-8410
Phone
(941) 776-4050
NPI assigned
Oct 17, 2016
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA63740 CA
Physician Assistant 363A00000X PA9109831 FL Primary

Addresses

Primary practice location

12271 US Highway 301 N
Parrish, FL 34219-8410

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8823
Phone (941) 776-4000

Other practice location 1

302 W Fletcher Ave
Tampa, FL 33612-3415
Phone (813) 866-0930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161128001779 FL Practitioner - Physician Assistant 5991084451 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
The Clinicians, LLCGroup PAC ID 7214154509, 51 clinicians
Travel Doctor PLGroup PAC ID 2567686090, 42 clinicians

Practice addresses (Care Compare)

10970 Cross Creek Blvd
Suite D
Tampa, FL 33647-4056
Phone (813) 369-5969

21301 Powerline Rd
Suite 106
Boca Raton, FL 33433-2389
Phone (866) 550-2212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA63740CAMDPhysician Assistant
PA9109831FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Physician Assistant CurrentSince Jun 1, 2022 Accepting new patients
Tampa Family Health Centers Inc CurrentSince Nov 1, 2016 Accepting new patients
MCR Health, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Nov 1, 2016 Accepting new patients
Cool Kidz Pediatrics LLC Past Accepting new patients
MCR Health, Inc. Past Accepting new patients
Robert a. Norman, D.O., P.a. Past Accepting new patients

Locations

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

1609 6th Ave E
Bradenton, FL 34208
Phone (941) 348-1169

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

5325 26th St W
Bradenton, FL 34207
Phone (941) 708-8500

712 39th St W
Bradenton, FL 34205
Phone (941) 748-4602

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

579 S Indiana Ave
Ste A
Englewood, FL 34223
Phone (941) 460-1341

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

170 N Lime Ave
Sarasota, FL 34237
Phone (941) 867-0125

302 W Fletcher Ave
Tampa, FL 33612

7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: janet.olmedarivera.1@11352.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1417408311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058823",
            "telephone_number": "941-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12271 US HIGHWAY 301 N",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342198410",
            "telephone_number": "941-776-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 W Fletcher Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336123415",
            "country_code": "US",
            "telephone_number": "813-866-0930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLMEDA RIVERA",
        "first_name": "JANET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63740",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parrish, FL

Sources for this page

Verify at the official NPI Registry.