Kandice Rivers, DNP, APRN-BC, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95014958 Issued in CA

Practice address

2365 Iron Point Rd Ste 210
Folsom, CA 95630-8713

Phone

(925) 360-5264

NPI assigned

Mar 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Kandice Rivers Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1760017651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8504 CHLOE LN",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294068100",
            "telephone_number": "843-452-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 IRON POINT RD STE 210",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308713",
            "telephone_number": "925-360-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "KANDICE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN-BC, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "APN.23549",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "23549",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95014958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANDICE",
            "last_name": "RIVERS",
            "prefix": "DR.",
            "credential": "KANDICE RIVERS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sita Rina Riley
• Meredith Buffington Rishwain-Tozi, D.O
• Jeffrey Dean Risser
• Georgiana Lee Rivera, LCSW
• Keith Aaron Rivera, LCSW
• Susan Rivieccio, MFT INTERN
• Crystal Whitlow Rizzo, PA-C
• Dawnelle Roan
• Robert a Hoffman
• Robert R. Slater, Jr, MD. Incorporated

• Psychiatric/Mental Health Nurse Practitioner in Folsom, CA
• Providers in Folsom, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.