Organization Active NPI

Lilliam Rivera

  • Registered Nurse
  • Jacksonville, FL
National Provider Identifier
1508001850
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9200441 Issued in FL
Legal business name
LILLIAM RIVERA
Practice address
2236 Brian Lakes Dr. E
Jacksonville, FL 32221
Phone
(904) 783-3009
NPI assigned
Dec 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Authorized official

Name
Mrs. Lilliam Rivera, BSN, MSN
Title
RN
Phone
(904) 783-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN9200441 FL Primary

Addresses

Primary practice location

2236 Brian Lakes Dr. E
Jacksonville, FL 32221

Mailing address

2236 Brian Lakes Dr E
Jacksonville, FL 32221-3844
Phone (904) 783-3009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1508001850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 BRIAN LAKES DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322213844",
            "telephone_number": "904-783-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 BRIAN LAKES DR. E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32221",
            "telephone_number": "904-783-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIAM RIVERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LILLIAM",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "904-783-3009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, MSN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9200441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.