Forever 29 LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

FOREVER 29 LLC

Practice address

10416 Morning Star Dr NE
Albuquerque, NM 87111-7539

Phone

(214) 227-2457

Fax

(214) 764-0880

NPI assigned

Mar 10, 2023

Last updated

May 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly V Rivera, NPNPI 1497008189

Title

Owner / Provider

Phone

(214) 227-2457

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Vanessa Rivera, APRN-CNP

  • Nurse Practitioner
  • Albuquerque, NM
  • NPI 1497008189

  Registered Nurse First Assistant

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1598465221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90644",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871990644",
            "telephone_number": "214-227-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10416 MORNING STAR DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117539",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER 29 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "214-227-2457",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Erwin Foreman, M.D., PH.D
• Forensic Behavioral Health Associates
• Forensic Treatment Services
• Megan M Foresi, LMT
• Kellylynne Forest, CPHT
• Scott Andrew Forman, M.D.
• Walter B Forman, MD
• Formation Counseling Services Inc
• Erin Lynn Forrest, INTERN
• Erricka Devun Forrest, PA

• Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.