Kathleen Rivera

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

079499 Issued in NY

Practice address

17411 67TH Ave
Fresh Meadows, NY 11365-2006

Phone

(719) 939-3773

NPI assigned

Nov 1, 2016

Last updated

Nov 1, 2016By 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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 4, 2019 through Feb 4, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North Shore Child and Family Guidance Association Incorporated

  • Adolescent and Children Mental Health Clinic/Center
  • Roslyn Heights, NY
  • NPI 1508929621
  NPD

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1649722182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17411 67TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652006",
            "telephone_number": "719-939-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17411 67TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652006",
            "telephone_number": "719-939-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "079499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Med Group
• Rite Med Group of Florida LLC
• Karen Rivelli-Daniello
• Emily Rivera Suarez, RN
• Elizabeth Rivera
• Amir Remond Rizkala, M.D.
• Nancy Rizkalla
• Syed Y Rizvi
• Syeda Rob
• Janet Roberts

• Case Manager/Care Coordinator in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.