Individual provider Active NPI

Joshua Michael Rivers, NP-C

  • Primary Care Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1639599483
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AG0214099 Issued in AL
Practice address
6701 Airport Blvd
Suite D-430
Mobile, AL 36608-6705
Phone
(251) 639-2101
Fax
(251) 639-9122
NPI assigned
Apr 21, 2014
Last updated
Aug 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AG0214099 AL Primary

Addresses

Primary practice location

6701 Airport Blvd
Suite D-430
Mobile, AL 36608-6705

Mailing address

6701 Airport Blvd
Suite D-430
Mobile, AL 36608-6705
Phone (251) 639-2101

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
I20140703001400 AL Practitioner - Nurse Practitioner 6406071513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

Practice addresses (Care Compare)

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-3580

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AG0214099ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Providence Healthcare Services CurrentSince Jan 1, 2023 Accepting new patients
Providence Healthcare Services Current Accepting new patients
Alabama Providence Healthcare Services CurrentSince Jan 1, 2023 Accepting new patients
USA Health Community Providers LLC CurrentSince Sep 1, 2023 Accepting new patients
University of South Alabama Mitchell Cancer Institute Past Accepting new patients

Locations

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

6701 Airport Blvd
Ste A208
Mobile, AL 36608
Phone (205) 633-2262

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

6701 Airport Blvd
Ste D430
Mobile, AL 36608
Phone (251) 633-0119

6701 Airport Blvd
Ste D436
Mobile, AL 36608
Phone (251) 266-1987

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

Interoperability endpoints

  • Direct secure messaging: joshua.rivers.1@16253.direct.athenahealth.com
  • Direct secure messaging: joshuarivers@mobilegastro.ssdirect.aprima.com

Organizations & group practices 5

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1639599483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "SUITE D-430",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-639-2101",
            "fax_number": "251-639-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "SUITE D-430",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-639-2101",
            "fax_number": "251-639-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "AG0214099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.