Lisa A Westover Rivera, CST

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

163145 Issued in FL

Practice address

11621 Kew Gardens Ave Ste 101
Palm Beach Gardens, FL 33410-2853

Phone

(561) 630-3870

Fax

(561) 630-3680

NPI assigned

Oct 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1447858261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11621 KEW GARDENS AVE STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102853",
            "telephone_number": "561-630-3870",
            "fax_number": "561-630-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11621 KEW GARDENS AVE STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102853",
            "telephone_number": "561-630-3870",
            "fax_number": "561-630-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTOVER RIVERA",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "CST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "FL",
            "license": "163145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimmee Renee Werosta, MS, RDN
• David J West, MD
• Michael Wickliffe West, M.D.
• Payton Westberry
• Jennifer Lynn Westcott, D.M.D.
• N Westphal, L.M.T.
• Westside Therapy
• Gary Wexler, M.D.
• Stacy White
• Teya White

• Surgical Technologist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Surgical Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.