NPIMap

Organization Active NPI

Riverstone Wellness, NP

  • Clinical Social Worker
  • Kernville, CA
National Provider Identifier
1780309757
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RIVERSTONE WELLNESS, NP
Practice address
14 Sierra Dr
Kernville, CA 93238-1006
Phone
(760) 417-2392
Fax
(760) 376-3034
NPI assigned
Oct 11, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Heather Sandra Berry, LCSWNPI 1578609483
Title
NP Founder Clinical Director
Phone
(760) 417-2392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

14 Sierra Dr
Kernville, CA 93238-1006

Mailing address

PO Box 363
Wofford Heights, CA 93285-0363
Phone (760) 417-2392

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1780309757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "WOFFORD HEIGHTS",
            "state": "CA",
            "postal_code": "932850363",
            "telephone_number": "760-417-2392",
            "fax_number": "760-376-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SIERRA DR",
            "city": "KERNVILLE",
            "state": "CA",
            "postal_code": "932381006",
            "telephone_number": "760-417-2392",
            "fax_number": "760-376-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSTONE WELLNESS, NP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "SANDRA",
        "authorized_official_title_or_position": "NP FOUNDER CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "760-417-2392",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.