Rivers Paige Justus

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1680 S Greathouse Drive
Atoka, OK 74525

Phone

(580) 297-6965

Fax

(580) 324-4181

NPI assigned

Dec 2, 2020

Last updated

Dec 2, 2020By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1619572146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 S GREATHOUSE DRIVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "74525",
            "telephone_number": "580-297-6965",
            "fax_number": "580-324-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 S GREATHOUSE DRIVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "74525",
            "telephone_number": "580-297-6965",
            "fax_number": "580-324-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTUS",
        "first_name": "RIVERS",
        "middle_name": "PAIGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100683770A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Atoka",
            "affiliation": "N",
            "endpointDescription": "1680 S Greathouse Dr",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Atoka",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Atoka",
            "address_1": "1680 S Greathouse Drive",
            "city": "Atoka",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Johnson
• Rissa Johnson
• Johnny Jones, BHCMII
• Lita Carlene Jones
• Pamela Justice
• Melanie Keeling
• Kennedy Eyecare LLC
• Carlye Elizabeth Kennedy, OD
• Callie Kennison
• Jessica King

• Student in an Organized Health Care Education/Training Program in Atoka, OK
• Providers in Atoka, OK by specialty
• Student in an Organized Health Care Education/Training Program in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.