Active NPI
Gladys M Rivera, ARNP
- Nurse Practitioner
- Ludlow, MA
National Provider Identifier
1447599402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2279300
- Practice address
- 627 Randall Rd
Ludlow, MA 01056-1085 - Phone
- (413) 858-0322
- NPI assigned
- Feb 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN2279300 | MA | |
| Family Nurse Practitioner | 363LF0000X | ARNP9423814 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9423814 | FL | |
| Nurse Practitioner | 363L00000X | RN2279300 | MA | Primary |
Addresses
Primary practice location
627 Randall Rd
Ludlow, MA 01056-1085
Mailing address
273 Williams St
Longmeadow, MA 01106-2017
Phone (413) 262-4949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300237 | Medicaid | MA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2279300 | MA | MD | Nurse Practitioner |
| ARNP9423814 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1447599402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 WILLIAMS ST",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011062017",
"telephone_number": "413-262-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 RANDALL RD",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010561085",
"telephone_number": "413-858-0322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "GLADYS",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-11",
"last_updated": "2022-10-17",
"certification_date": "2022-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MA",
"license": "RN2279300",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9423814",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP9423814",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2279300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1300237",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ludlow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.