Individual provider Active NPI

Nisha L. Rivera Negron, LCDA

  • Nutritionist
  • Guayanilla, PR
National Provider Identifier
1740509470
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1528 Issued in PR
Practice address
20 Calle Rufina
Suite 2 Bajos
Guayanilla, PR 00656
Phone
(787) 209-4146
NPI assigned
May 20, 2010
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1528 PR Primary

Addresses

Primary practice location

20 Calle Rufina
Suite 2 Bajos
Guayanilla, PR 00656

Mailing address

11182 Margarita Street Urb. Hacienda Concordia
Santa Isabel, PR 00757
Phone (787) 209-4146

Other practice location 1

16 Calle Rafael Ocasio
Salinas, PR 00751-3240
Phone (787) 209-4146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120424000037 PR Practitioner - Registered Dietitian Or Nutrition Professional 9335301134 Reassigns benefits to 1 organization
Practice locations: Guayanilla, PR; Salinas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1528PRMDMedical Laboratory Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Vita Care,LLC CurrentSince Jul 24, 2019 Accepting new patients
De Medicos Primarios, Corp. Past Accepting new patients
Aliansa de Salud Primaria Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nisha.riveranegron.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 3

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": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1740509470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11182 MARGARITA STREET URB. HACIENDA CONCORDIA",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-209-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CALLE RUFINA",
            "address_2": "SUITE 2 BAJOS",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "00656",
            "telephone_number": "787-209-4146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Calle Rafael Ocasio",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "PR",
            "postal_code": "007513240",
            "country_code": "US",
            "telephone_number": "787-209-4146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA NEGRON",
        "first_name": "NISHA",
        "middle_name": "L.",
        "credential": "LCDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayanilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.