Organization Active NPI

Rivers Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1790176832
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP08178 Issued in LA
Legal business name
RIVERS PSYCHIATRIC SERVICES LLC
Practice address
5920 Coliseum Blvd
Alexandria, LA 71303-3714
Phone
(318) 443-9339
Fax
(318) 443-9116
NPI assigned
Feb 11, 2015
Last updated
Feb 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Mrs. Kimberly B Rivers, APRN, PMHNP-BCNPI 1417347071
Title
Psychiatric Mental Health NP
Phone
(318) 419-3592

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP08178 LA Primary

Addresses

Primary practice location

5920 Coliseum Blvd
Alexandria, LA 71303-3714

Mailing address

5920 Coliseum Blvd
Alexandria, LA 71303-3714
Phone (318) 443-9339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150311000844 LA Part B Supplier - Clinic/Group Practice 2163748070 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, LA

National Provider Directory

National Provider Directory

Locations

2621 N Bolton Ave
Alexandria, LA 71303
Phone (318) 448-8473

411 Scott St
Rapides Regional Hospital
Alexandria, LA 71301
Phone (318) 769-3000

Practitioners & affiliated clinicians

Practitioners 1

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": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1790176832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 COLISEUM BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033714",
            "telephone_number": "318-443-9339",
            "fax_number": "318-443-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 COLISEUM BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033714",
            "telephone_number": "318-443-9339",
            "fax_number": "318-443-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NP",
        "authorized_official_telephone_number": "318-419-3592",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.