Individual provider Active NPI

Kathryn Rive, APRN

  • Pediatric Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1497048037
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN098925 - AP06432 Issued in LA
Practice address
2215 Veterans Memorial Blvd
Metairie, LA 70002-6322
Phone
(504) 838-3524
NPI assigned
May 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN098925 - AP06432 LA Primary

Addresses

Primary practice location

2215 Veterans Memorial Blvd
Metairie, LA 70002-6322

Mailing address

4825 Meadowdale St
Metairie, LA 70006-4037
Phone (504) 455-1357

Other identifiers 2

IdentifierTypeStateIssuer
2357701MedicaidLA
04832872MedicaidMS

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
I20140501000030 LA Practitioner - Nurse Practitioner 5698908457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN098925 - AP06432LAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 15, 2014 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 15, 2014 Accepting new patients

Locations

2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524

1514 Jefferson Hwy
New Orleans, LA 70121

Interoperability endpoints

  • Direct secure messaging: krive163594@direct.ochsner.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1497048037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 MEADOWDALE ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064037",
            "telephone_number": "504-455-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 VETERANS MEMORIAL BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026322",
            "telephone_number": "504-838-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVE",
        "first_name": "KATHRYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "RN098925 - AP06432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2357701",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04832872",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.