Individual provider Active NPI

Rita Marie Lopez, APRN

  • Family Nurse Practitioner
  • Silver Springs, FL
National Provider Identifier
1447433107
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1433822 Issued in FL
Practice address
15932 E Highway 40
Silver Springs, FL 34488-5144
Phone
(406) 625-7777
Fax
(352) 625-1970
NPI assigned
Dec 17, 2007
Last updated
Jan 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 28853 MT
Family Nurse Practitioner 363LF0000X 1433822 FL Primary

Addresses

Primary practice location

15932 E Highway 40
Silver Springs, FL 34488-5144

Mailing address

15932 E Highway 40
Silver Springs, FL 34488-5144
Phone (406) 625-7777

Other practice location 1

580 5th St W
Whitefish, MT 59937-3052
Phone (406) 862-0009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220513001209 OR Practitioner - Nurse Practitioner 0345570057 Reassigns benefits to 2 organizations
I20220818002468 TX Practitioner - Nurse Practitioner 0345570057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28853MTMDAdult Health Nurse Practitioner
1433822FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grande Ronde Hospital, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Shoshone Paiute Tribes CurrentSince Jan 7, 2022 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Shoshone-Paiute Tribes CurrentSince Jan 7, 2022 Accepting new patients
United Immunology and Allergy LLC PastSince Apr 19, 2020 Accepting new patients

Locations

1623 Hospital Loop
Owyhee, NV 89832
Phone (775) 757-2403

506 4th St
La Grande, OR 97850
Phone (541) 663-3138

900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421

Organizations & group practices 5

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": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1447433107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15932 E HIGHWAY 40",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344885144",
            "telephone_number": "406-625-7777",
            "fax_number": "352-625-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15932 E HIGHWAY 40",
            "city": "SILVER SPRINGS",
            "state": "FL",
            "postal_code": "344885144",
            "telephone_number": "406-625-7777",
            "fax_number": "352-625-1970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 5th St W",
            "address_purpose": "LOCATION",
            "city": "Whitefish",
            "state": "MT",
            "postal_code": "599373052",
            "country_code": "US",
            "telephone_number": "406-862-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RITA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MT",
            "license": "28853",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1433822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Springs, FL

Sources for this page

Verify at the official NPI Registry.