Riverside Family Health

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RIVERSIDE FAMILY HEALTH

Practice address

1395 N Courtenay Pkwy Ste 100
Merritt Island, FL 32953-4474

Phone

(321) 453-5252

Fax

(321) 453-5152

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Kimberly Naoumoff

Title

Authorized Official Practice Managr

Phone

(321) 453-5252

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• RIVERSIDE FAMILY HEALTH PL Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Steward Rockledge Hospital, Inc.

  • General Acute Care Hospital
  • Rockledge, FL
  • NPI 1235663899

  O20060110000782

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Riverside Family Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Steward Rockledge Hospital, Inc.

  • General Acute Care Hospital
  • Rockledge, FL
  • NPI 1235663899
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephane M Naoumoff, MD

  • Family Medicine Physician
  • Merritt Island, FL
  • NPI 1346212933
  Medicare reassignment Care Compare group NPD
• Amy Sequeira

  • Family Nurse Practitioner
  • Merritt Island, FL
  • NPI 1770206344
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1477568186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY STE 100",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534474",
            "telephone_number": "321-453-5252",
            "fax_number": "321-453-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 N COURTENAY PKWY STE 100",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534474",
            "telephone_number": "321-453-5252",
            "fax_number": "321-453-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "NAOUMOFF",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL PRACTICE MANAGR",
        "authorized_official_telephone_number": "321-453-5252"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113538600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSIDE FAMILY HEALTH PL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard P Newman MD PA
• Kendra Marie Richardson, LCSW
• Randall Brian Rigdon, MD
• Lorraine Riopedre-Gomez, DMD
• Taylor Rioux
• Susan C Robbins, RN
• Robert Aranibar, M.D., LLC
• Robert E Clayton 11 MD Medical-Wellness LLC
• Robert H. Paxson, MD
• Robert W. Traven D.C. P.a.

• Family Medicine Physician in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.