Active NPI
Jamie Rivera
- Licensed Practical Nurse
- St Petersburg, FL
National Provider Identifier
1689049298
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 20, 2026.
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN5200998
- Practice address
- 3800 Central Ave
St Petersburg, FL 33711-1237 - Phone
- (727) 327-7656
- Fax
- (727) 322-2110
- NPI assigned
- Dec 8, 2015
- Last updated
- Dec 8, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5200998 | FL | Primary |
Addresses
Primary practice location
3800 Central Ave
St Petersburg, FL 33711-1237
Mailing address
PO Box 10970
St Petersburg, FL 33733-0970
Phone (727) 327-7656
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN5200998 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1689049298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10970",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337330970",
"telephone_number": "727-327-7656",
"fax_number": "727-322-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337111237",
"telephone_number": "727-327-7656",
"fax_number": "727-322-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-08",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5200998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.