Individual provider Active NPI

Virginia Marie Rivera, LPN

  • Licensed Practical Nurse
  • Scottsdale, AZ
National Provider Identifier
1679941140
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP047403 Issued in AZ
Practice address
8687 E Via de Ventura
Suite #110
Scottsdale, AZ 85258-3347
Phone
(480) 609-9000
Fax
(480) 609-9021
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP047403 AZ Primary

Addresses

Primary practice location

8687 E Via de Ventura
Suite #110
Scottsdale, AZ 85258-3347

Mailing address

8687 E Via de Ventura
Suite #110
Scottsdale, AZ 85258-3347
Phone (480) 609-9000

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

State licenses

LicenseStateTypeSpecialty
LP047403AZMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dependable Nurses of Phoenix, LLC Past Accepting new patients

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1679941140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8687 E VIA DE VENTURA",
            "address_2": "SUITE #110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583347",
            "telephone_number": "480-609-9000",
            "fax_number": "480-609-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8687 E VIA DE VENTURA",
            "address_2": "SUITE #110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583347",
            "telephone_number": "480-609-9000",
            "fax_number": "480-609-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "VIRGINIA",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP047403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.