Individual provider Active NPI

Natalia Ivelisse Rivera-Smith, BA, MASJ, JD

  • Case Manager/Care Coordinator
  • Orlando, FL
National Provider Identifier
1609393610
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
115 E Lancaster Rd
Orlando, FL 32809-6689
Phone
(863) 582-9899
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Ethicist 174V00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

115 E Lancaster Rd
Orlando, FL 32809-6689

Mailing address

17906 Woodcrest Way
Clermont, FL 34714-5906
Phone (787) 646-6684

Other practice location 1

115 Lake Davenport Blvd Ste C
Davenport, FL 33897-9405
Phone (787) 646-6684

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
Credentials
Bachelor of Arts, Juris Doctor

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1609393610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17906 WOODCREST WAY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347145906",
            "telephone_number": "787-646-6684",
            "fax_number": "787-646-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LANCASTER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328096689",
            "telephone_number": "863-582-9899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Lake Davenport Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338979405",
            "country_code": "US",
            "telephone_number": "787-646-6684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA-SMITH",
        "first_name": "NATALIA",
        "middle_name": "IVELISSE",
        "name_prefix": "Miss",
        "credential": "BA, MASJ, JD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174V00000X",
            "taxonomy_group": "",
            "desc": "Clinical Ethicist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.