Jacqueline Francis Rivera, HHA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

00298059 Issued in NY

Practice address

4 Hickory PL
Bay Shore, NY 11706-2404

Phone

(631) 647-3231

NPI assigned

Mar 24, 2014

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

State licenses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1669899019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HICKORY PL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062404",
            "telephone_number": "631-647-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HICKORY PL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062404",
            "telephone_number": "631-647-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JACQUELINE",
        "middle_name": "FRANCIS",
        "name_prefix": "Mrs.",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NY",
            "license": "00298059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Rimpel
• Wendy Rios Sabillon
• Hyman Ritter, D.D.S.
• Debora Lynn Rivera, LPN
• Deyanira Rivera
• Jennifer Rivera
• Miles Rivera, LMSW
• Sylvana Valeria Rivera
• Valeria Rivera
• Victor Rivera I, LMSW

• Home Health Aide in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Home Health Aide in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.