Individual provider Active NPI

Segalit M Rivera-Murray, PA

  • Physician Assistant
  • Stonewall, LA
National Provider Identifier
1457636664
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA200510 Issued in LA
Practice address
160 Stone Creek Rd Ste B
Stonewall, LA 71078-4906
Phone
(318) 925-3338
Fax
(318) 747-8150
NPI assigned
Oct 19, 2011
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA200510 LA
Physician Assistant 363A00000X PA200510 LA Primary

Addresses

Primary practice location

160 Stone Creek Rd Ste B
Stonewall, LA 71078-4906

Mailing address

2539 Viking Dr Ste 101
Bossier City, LA 71111-2165
Phone (318) 747-8100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srivera@bossierfamilymed.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111110000858 LA Practitioner - Physician Assistant 8527232461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bossier Family Medicine, LLCGroup PAC ID 1850318122, 21 clinicians

Practice addresses (Care Compare)

160 Stone Creek Rd
Stonewall, LA 71078-4906

2539 Viking Dr
Bossier City, LA 71111-2165

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA200510LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bossier Family Medicine, LLC CurrentSince Sep 11, 2022 Accepting new patients

Locations

2539 Viking Dr
Ste 100
Bossier City, LA 71111
Phone (318) 747-8100

2539 Viking Dr
Ste 101
Bossier City, LA 71111
Phone (318) 747-8100

5390 Barksdale Blvd
Ste 100
Bossier City, LA 71112
Phone (318) 747-8105

160 Stone Creek Rd
Ste A
Stonewall, LA 71078
Phone (318) 925-3339

Interoperability endpoints

  • Direct secure messaging: srivera@bossierfamilymed.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1457636664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 VIKING DR STE 101",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112165",
            "telephone_number": "318-747-8100",
            "fax_number": "318-747-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 STONE CREEK RD STE B",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710784906",
            "telephone_number": "318-925-3338",
            "fax_number": "318-747-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-MURRAY",
        "first_name": "SEGALIT",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "PA200510",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA200510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srivera@bossierfamilymed.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medical information",
            "address_1": "160 Stone Creek Rd Ste B",
            "city": "Stonewall",
            "state": "LA",
            "country_code": "US",
            "postal_code": "710784906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stonewall, LA

Sources for this page

Verify at the official NPI Registry.