Individual provider Active NPI

Bernadette Rivera, LPN

  • Licensed Practical Nurse
  • Las Vegas, NV
National Provider Identifier
1417886664
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
16538 Issued in NV
Practice address
3161 E Warm Springs Rd Ste 400
Las Vegas, NV 89120-3144
Phone
(702) 405-9596
Fax
(702) 405-7908
NPI assigned
May 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 16538 NV Primary

Addresses

Primary practice location

3161 E Warm Springs Rd Ste 400
Las Vegas, NV 89120-3144

Mailing address

2241 Island City Dr
Henderson, NV 89044-1020
Phone (702) 405-9596

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

LicenseStateTypeSpecialty
16538NVMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1417886664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 ISLAND CITY DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890441020",
            "telephone_number": "702-405-9596",
            "fax_number": "702-405-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 E WARM SPRINGS RD STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203144",
            "telephone_number": "702-405-9596",
            "fax_number": "702-405-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "BERNADETTE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "16538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.