Active NPI
Maria Antonia Rivera, ARNP CNM
- Obstetrics & Gynecology Nurse Practitioner
- Ruskin, FL
National Provider Identifier
1801804224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- ARNP1065452
- Practice address
- 2814 14TH Ave SE
Ruskin Health Center
Ruskin, FL 33570 - Phone
- (813) 349-7800
- Fax
- (813) 349-7832
- NPI assigned
- Aug 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | ARNP1065452 | FL | Primary |
Addresses
Primary practice location
2814 14TH Ave SE
Ruskin Health Center
Ruskin, FL 33570
Mailing address
3301 Yellowknife Cir
Wimauma, FL 33598
Phone (813) 633-0122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1065452 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Community Health Centers Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Ruskin Health Center
- Federally Qualified Health Center (FQHC)
- Ruskin, FL
- NPI 1285644799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801804224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 YELLOWKNIFE CIR",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "33598",
"telephone_number": "813-633-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 14TH AVE SE",
"address_2": "RUSKIN HEALTH CENTER",
"city": "RUSKIN",
"state": "FL",
"postal_code": "33570",
"telephone_number": "813-349-7800",
"fax_number": "813-349-7832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MARIA",
"middle_name": "ANTONIA",
"credential": "ARNP CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "ARNP1065452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruskin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.