Active NPI
Vanessa Luna-Rivera, FNP-BC
- Nurse Practitioner
- Dover, DE
National Provider Identifier
1679387385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LG-0013091
- Practice address
- 200 Banning St Ste 280
Dover, DE 19904-3489 - Phone
- (302) 866-2494
- Fax
- (302) 487-1167
- NPI assigned
- Feb 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LG-0013091 | DE | Primary |
Addresses
Primary practice location
200 Banning St Ste 280
Dover, DE 19904-3489
Mailing address
200 Banning St Ste 280
Dover, DE 19904-3489
Phone (302) 866-2494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251021000879 | DE | Practitioner - Nurse Practitioner | 1456849652 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nutrihealth LLC
Practice addresses (Care Compare)
200 Banning St
Suite 280
Dover, DE 19904-3489
Phone (302) 400-9999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0013091 | DE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrihealth LLC | Current | Accepting new patients |
Locations
200 Banning St
Ste 280
Dover, DE 19904
Phone (302) 734-4434
18335 Coastal Hwy
Ste 102
Lewes, DE 19958
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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": "1738540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1679387385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BANNING ST STE 280",
"city": "DOVER",
"state": "DE",
"postal_code": "199043489",
"telephone_number": "302-866-2494",
"fax_number": "302-487-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BANNING ST STE 280",
"city": "DOVER",
"state": "DE",
"postal_code": "199043489",
"telephone_number": "302-866-2494",
"fax_number": "302-487-1167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA-RIVERA",
"first_name": "VANESSA",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-03",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LG-0013091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.