Individual provider Active NPI

Latoya Rivers, NP

  • Nurse Practitioner
  • Chapel Hill, NC
National Provider Identifier
1639725484
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012054 Issued in NC
Practice address
750 Weaver Dairy Rd
Chapel Hill, NC 27514-1438
Phone
(919) 918-3218
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5012054 NC
Nurse Practitioner 363L00000X 5012054 NC Primary

Addresses

Primary practice location

750 Weaver Dairy Rd
Chapel Hill, NC 27514-1438

Mailing address

1101 Briarwood Dr
Mebane, NC 27302-7182

Other practice location 1

2500 Summit Ave
Greensboro, NC 27405-4522
Phone (336) 621-2500

Other practice location 2

914 Chapel Hill Rd
Burlington, NC 27215-6715
Phone (336) 532-0100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lrivers@carolwoods.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20191216000467 NC Practitioner - Nurse Practitioner 8426481912 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5012054NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Authoracare Collective CurrentSince Dec 17, 2019 Accepting new patients
Authoracare Collective CurrentSince Dec 17, 2019 Accepting new patients

Locations

914 Chapel Hill Rd
Burlington, NC 27215
Phone (336) 532-0100

2504 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

2500 Summit Ave
Greensboro, NC 27405
Phone (336) 621-2500

Interoperability endpoints

  • Direct secure messaging: latoya.rivers.1@14774.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1639725484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BRIARWOOD DR",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WEAVER DAIRY RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141438",
            "telephone_number": "919-918-3218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274054522",
            "country_code": "US",
            "telephone_number": "336-621-2500",
            "fax_number": "336-690-5423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "914 Chapel Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272156715",
            "country_code": "US",
            "telephone_number": "336-532-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "LATOYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5012054",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lrivers@carolwoods.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "750 Weaver Dairy Rd",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275141438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.