Active NPI
Lucita Rivera
- Health Educator
- Philadelphia, PA
National Provider Identifier
1477153500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 1500 Market St
Philadelphia, PA 19102-2100 - Phone
- (215) 985-2500
- Fax
- (215) 731-6199
- NPI assigned
- Oct 28, 2020
- Last updated
- Oct 28, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
1500 Market St
Philadelphia, PA 19102-2100
Mailing address
7444 New Second St
Melrose Park, PA 19027-3315
Phone (215) 605-1592
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Philadelphia | Health Information Exchange (HIE) |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1477153500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7444 NEW SECOND ST",
"city": "MELROSE PARK",
"state": "PA",
"postal_code": "190273315",
"telephone_number": "215-605-1592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 MARKET ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191022100",
"telephone_number": "215-985-2500",
"fax_number": "215-731-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "LUCITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Philadelphia",
"affiliation": "N",
"endpointDescription": "Health Promotion Council",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1500 Market St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191022100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.