Enrique Rivera Jr., RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

17197 Issued in PR

Practice address

1665 Cochrane Cir BLDG 7494
Ft Carson, CO 80913-4603

Phone

(719) 524-2645

NPI assigned

Apr 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1548840424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MILLSTREAM TER",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809054430",
            "telephone_number": "719-619-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 COCHRANE CIR BLDG 7494",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134603",
            "telephone_number": "719-524-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "PR",
            "license": "17197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SRU",
            "affiliation": "N",
            "endpointDescription": "SRU",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1665 Cochrane Cir Bldg 7494",
            "city": "Ft Carson",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809134603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karina Rippy
• John Rising, R.PH.
• Elsa Nidia Rivas, DENTAL ASSISTANT
• Becky Merced Rivera
• Dennis Emilio Rivera, DDS
• Alisn Rizzo, PT, DPT
• David Paul Robbins, P.T.
• Kaimen Dre'Paul Roberson, X2
• Nadia Robie, LCSW
• Matthew Robinett, MD

• Case Management Registered Nurse in Ft Carson, CO
• Providers in Ft Carson, CO by specialty
• Case Management Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.