Riverside Village Health and Wellness

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

12987 Issued in TN

Legal business name

RIVERSIDE VILLAGE HEALTH AND WELLNESS

Practice address

1406 McGavock Pike Ste B
Nashville, TN 37216-3233

Phone

(615) 997-1851

NPI assigned

May 15, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Simmons, NP

Title

Nurse Practitioner

Phone

(615) 477-6213

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811424484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 MCGAVOCK PIKE STE B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163233",
            "telephone_number": "615-997-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 MCGAVOCK PIKE STE B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163233",
            "telephone_number": "615-997-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE VILLAGE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "615-477-6213",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TN",
            "license": "12987",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "12987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341010",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Alejandra Rivera, FNP-C
• Sandra Rivera, NP
• Sydney Rivera
• Margaret Rivers
• Riverside Community Care Clinic of Tennessee Corp
• Carolyn L Riviere
• Keyrillos Rizg, M.D.
• Adam Rizvi, MD
• Callie Rizzardi, MD
• Melissa Rizzolo, MSW, LCSW-C

• Primary Care Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.