Individual provider Active NPI

Nora Gayle Rivkis, LMP

  • Specialist
  • Seattle, WA
National Provider Identifier
1508266958
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA60415545 Issued in WA
Practice address
4126 37TH Ave SW
Seattle, WA 98126-2624
Phone
(206) 538-7099
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA60415545 WA Primary

Addresses

Primary practice location

4126 37TH Ave SW
Seattle, WA 98126-2624

Mailing address

4126 37TH Ave SW
Seattle, WA 98126-2624
Phone (206) 538-7099

Other names 1

  • Naomi Rivkis Professional name

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

State licenses

LicenseStateTypeSpecialty
MA60415545WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1508266958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 37TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262624",
            "telephone_number": "206-538-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 37TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262624",
            "telephone_number": "206-538-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVKIS",
        "first_name": "NORA",
        "middle_name": "GAYLE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60415545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "RIVKIS",
            "credential": "LMP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.