Individual provider Active NPI

Wanda Acuna Rivera, RD CD

  • Registered Dietitian
  • Hill AFB, UT
National Provider Identifier
1679537104
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
6036 Cedar LN
BLDG 1277
Hill AFB, UT 84056-5812
Phone
(801) 586-6022
Fax
(801) 777-5760
NPI assigned
Apr 13, 2006
Last updated
Dec 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

6036 Cedar LN
BLDG 1277
Hill AFB, UT 84056-5812

Mailing address

1641 N 2475 W
Clinton, UT 84015-8237
Phone (801) 586-6022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1679537104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 N 2475 W",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158237",
            "telephone_number": "801-586-6022",
            "fax_number": "801-777-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 CEDAR LN",
            "address_2": "BLDG 1277",
            "city": "HILL AFB",
            "state": "UT",
            "postal_code": "840565812",
            "telephone_number": "801-586-6022",
            "fax_number": "801-777-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "WANDA",
        "middle_name": "ACUNA",
        "name_prefix": "Mrs.",
        "credential": "RD CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hill AFB, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.