Jecsica Rivera, BSN, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

041.499464 Issued in IL

Practice address

4326 W McLean Ave
Chicago, IL 60639-3548

Phone

(773) 682-3745

NPI assigned

Apr 20, 2021

Last updated

Apr 20, 2021By the provider in NPPES

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1619558624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 W MCLEAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393548",
            "telephone_number": "773-682-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 W MCLEAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393548",
            "telephone_number": "773-682-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JECSICA",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041.499464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Jose Rivera, MD
• Gilda Grace Rivera
• Hector Rivera, LCSW
• Irina Rivera, PH.D.
• Jameson Rivera, PA
• Jelisa Marie Rivera, LCSW
• Jennifer Rivera, LSW
• John-Luke Rivera, MD
• Jomarie Rose Ocampo Rivera, M.D.
• Karla Marie Rivera, LPC

• General Practice Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.