Lynette J. Rivinius, RN, MS, CNS, CDE

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

1318 Issued in CA

Practice address

22552 Lark St
Grand Terrace, CA 92313-5716

Phone

(909) 380-4397

NPI assigned

Jan 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Lynette Joyce Flemmer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Master of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1710123237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22552 LARK ST",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135716",
            "telephone_number": "909-380-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22552 LARK ST",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135716",
            "telephone_number": "909-380-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVINIUS",
        "first_name": "LYNETTE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "RN, MS, CNS, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "260455",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "1318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNETTE",
            "last_name": "FLEMMER",
            "middle_name": "JOYCE",
            "prefix": "MISS",
            "credential": "RN, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Grand Terrace, CA
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.