Juan Carlos Rivas, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

80189 Issued in KS

Practice address

439 N McLean Blvd Ste 204
Wichita, KS 67203-5900

Phone

(316) 358-0025

Fax

(316) 776-4554

NPI assigned

Jun 18, 2019

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Empowering Wellness

  • Clinic/Center
  • Wichita, KS
  • NPI 1275230757
  NPD Authorized official

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1417517996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 N MCLEAN BLVD STE 204",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035900",
            "telephone_number": "316-358-0025",
            "fax_number": "316-776-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 N MCLEAN BLVD STE 204",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672035900",
            "telephone_number": "316-358-0025",
            "fax_number": "316-776-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "JUAN CARLOS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112763",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "80189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Riordan, LMSW
• Rios, Mason, & Associates, LLC
• Michelle Leigh Risser, LCMFT
• Breana Ritchie, OTA/L
• Alexis Rivas
• Lorraine Ruth Rivas, LAC, MSW
• River City Cardiac and Vascular Institute
• River City Osteopathic Clinic
• Deborah Naomi Rivera-Hernandez, MD
• Caleb Moise Rivera, LMFT-T

• Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.