Active NPI
Susan Riva, FNP
- Family Nurse Practitioner
- Bangor, ME
National Provider Identifier
1699103341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP131084
- Practice address
- 992 Union St
Bangor, ME 04401-3057 - Phone
- (207) 992-2601
- Fax
- (207) 404-8351
- NPI assigned
- Oct 16, 2013
- Last updated
- Mar 23, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP131084 | ME | Primary |
Addresses
Primary practice location
992 Union St
Bangor, ME 04401-3057
Mailing address
PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8200
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
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP131084 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penobscot Community Health Center | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1699103341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1599",
"city": "BANGOR",
"state": "ME",
"postal_code": "044021599",
"telephone_number": "207-404-8200",
"fax_number": "207-947-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "992 UNION ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013057",
"telephone_number": "207-992-2601",
"fax_number": "207-404-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVA",
"first_name": "SUSAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP131084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Mari-Anne Rivera, ANPC
- Kyla Marie Roach, LMSW-CC
- Kayla Robbins
- Ray Arthur Robbins, CADC
- Robert E. Erickson, DMD, PLLC (Erickson's Extraction and Denture Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.