Lakisha S Rivers

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

237461 Issued in FL

Practice address

225 Old Village Center Cir Unit 4102
Saint Augustine, FL 32084-5806

Phone

(904) 755-9424

NPI assigned

Sep 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Friendly Faces Home and Companion Care

  • Home Health Agency
  • St Augustine, FL
  • NPI 1427787050
  NPD Authorized official

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1508535790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 OLD VILLAGE CENTER CIR UNIT 4102",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320845806",
            "telephone_number": "904-755-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 OLD VILLAGE CENTER CIR UNIT 4102",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320845806",
            "telephone_number": "904-755-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "LAKISHA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "FL",
            "license": "237461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rishell
• Rising Sun Dermatology PLLC
• Riskey Business Inc
• Linda Ritch
• Jennifer Ritschl, APRN
• Riverside Spine & Pain Physicians, LLC
• Rivertown Chiropractic, LLC
• Michelle Marie Robalino-Sanghavi, M.D.
• Jerry Lee Robben
• Robert B Dehgan M D P a

• Attendant Care Provider in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Attendant Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.