Individual provider Active NPI

Mary Rivers, FNP-C

  • Family Nurse Practitioner
  • Moulton, AL
National Provider Identifier
1578319356
Registry record updated May 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-172359 Issued in AL
Practice address
10939 Al Highway 157
Moulton, AL 35650-1914
Phone
(256) 974-6550
NPI assigned
Apr 24, 2024
Last updated
May 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-172359 AL Primary

Addresses

Primary practice location

10939 Al Highway 157
Moulton, AL 35650-1914

Mailing address

PO Box 340
Moulton, AL 35650-0340
Phone (256) 762-2921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240604003079 AL Practitioner - Nurse Practitioner 0648712737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attentus Moulton, LLCGroup PAC ID 6406895382, 11 clinicians

Practice addresses (Care Compare)

10939 Al Hwy 157
Moulton, AL 35650-1914
Phone (256) 974-3390

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Attentus Moulton, LLC CurrentSince May 15, 2024 Accepting new patients
Attentus Moulton, LLC CurrentSince May 15, 2024 Accepting new patients
Urgent Care Northwest PC CurrentSince Aug 1, 2025 Accepting new patients
Attentus Moulton, LLC PastSince May 19, 2024 Accepting new patients
H H Health System-Morgan LLC Past Accepting new patients
Urgent Care Northwest PC PastSince Aug 1, 2025 Accepting new patients
Urgent Care Northwest PC PastSince Aug 1, 2025 Accepting new patients

Locations

5800 Oakwood Rd NW
Ste A
Huntsville, AL 35806
Phone (938) 259-3010

10939 AL Highway 157
Moulton, AL 35650
Phone (256) 974-3390

10939 AL Highway 157
Ste B
Moulton, AL 35650

202 Hospital St
Moulton, AL 35650
Phone (256) 974-2200

Interoperability endpoints

  • Direct secure messaging: mary.rivers.1@15818.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715472000000",
    "number": "1578319356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356500340",
            "telephone_number": "256-762-2921",
            "fax_number": "256-974-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10939 AL HIGHWAY 157",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501914",
            "telephone_number": "256-974-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "MARY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-05-12",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-172359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moulton, AL

Sources for this page

Verify at the official NPI Registry.