Kimberly Aromy Rivera, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

220156 Issued in LA

Practice address

835 Pride Dr Ste B
Hammond, LA 70401-9527

Phone

(985) 543-4333

NPI assigned

Jun 21, 2021

Reactivated

Sep 30, 2021

Last updated

Sep 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Florida Parishes Human Services Authority

  dba FPHSA Primary Care

  • Primary Care Clinic/Center
  • Hammond, LA
  • NPI 1679128292
  Medicare reassignment NPD
• Kimberly a Rivera

  • Family Nurse Practitioner
  • Madisonville, LA
  • NPI 1407425846
  NPD Authorized official
• Florida Parishes Human Services Authority

  dba FPHSA Denham Springs

  • Community/Behavioral Health Agency
  • Denham Springs, LA
  • NPI 1235568767
  NPD

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1770152175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 HOUSE SPARROW DR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473032",
            "telephone_number": "985-640-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 PRIDE DR STE B",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704019527",
            "telephone_number": "985-543-4333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Pontchartrain Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "LA",
            "postal_code": "704479642",
            "country_code": "US",
            "telephone_number": "985-974-1149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "KIMBERLY",
        "middle_name": "AROMY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "deactivation_date": "2021-06-29",
        "reactivation_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "220156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220156",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jonathan Jerard Roberts, M.D.

• Family Nurse Practitioner in Hammond, LA
• Providers in Hammond, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.