Individual provider Active NPI

Nephtali Rivera, CRNA

  • Certified Registered Nurse Anesthetist
  • Toa Alta, PR
National Provider Identifier
1477135499
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN9445436 Issued in FL
Practice address
Urbanisacion Fuente Bella Calle Sorrento
#1582
Toa Alta, PR 00953
NPI assigned
Apr 28, 2021
Last updated
Apr 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN9445436 FL Primary

Addresses

Primary practice location

Urbanisacion Fuente Bella Calle Sorrento
#1582
Toa Alta, PR 00953

Mailing address

Urbanizacion Fuente Bella Calle Sorrento 1582
Toa Alta, PR 00953
Phone (787) 904-2182

Other practice location 1

Urbanizacion Fuente Bella Calle Sorrento
1582
Toa Alta, PR 00953
Phone (787) 904-2182

Other practice location 2

Urbanizacion fuente bella calle sorrento 1582
Toa Alta, PR 00953
Phone (787) 904-2182

Other practice location 3

Urbanizacion fuente bella calle sorrento
1582
Toa Alta, PR 00953

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL http
CONNECT URL http

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211014002844 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537567979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9445436FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 2, 2021 Accepting new patients
Anesthesiologists of Greater Orlando Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 2, 2021 Accepting new patients

Locations

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

22 Underwood St
Orlando, FL 32806
Phone (321) 841-6263

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

Organizations & group practices 3

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 1

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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1477135499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION FUENTE BELLA CALLE SORRENTO 1582",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-904-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANISACION FUENTE BELLA CALLE SORRENTO",
            "address_2": "#1582",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urbanizacion Fuente Bella Calle Sorrento",
            "address_2": "1582",
            "address_purpose": "LOCATION",
            "city": "Toa Alta",
            "state": "PR",
            "postal_code": "00953",
            "country_code": "US",
            "telephone_number": "787-904-2182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Urbanizacion fuente bella calle sorrento 1582",
            "address_purpose": "LOCATION",
            "city": "Toa Alta",
            "state": "PR",
            "postal_code": "00953",
            "country_code": "US",
            "telephone_number": "787-904-2182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Urbanizacion fuente bella calle sorrento",
            "address_2": "1582",
            "address_purpose": "LOCATION",
            "city": "Toa Alta",
            "state": "PR",
            "postal_code": "00953",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "NEPHTALI",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN9445436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http",
            "affiliation": "N",
            "address_1": "Urbanizacion fuente bella calle sorrento",
            "address_2": "1582",
            "city": "Toa Alta",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http",
            "affiliation": "N",
            "address_1": "Urbanizacion fuente bella calle sorrento",
            "address_2": "1582",
            "city": "Toa Alta",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.