Active NPI
Cristian H Rivera, NP
- Gerontology Nurse Practitioner
- Houston, TX
National Provider Identifier
1902413958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1029924
- Practice address
- 427 W 20TH St
Houston, TX 77008-2441 - Phone
- (713) 838-2300
- NPI assigned
- Sep 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 900243 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 1029924 | TX | Primary |
Addresses
Primary practice location
427 W 20TH St
Houston, TX 77008-2441
Mailing address
20323 Stonebridge Terrace CT
Richmond, TX 77407-4193
Phone (832) 671-4090
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cristian@renalaccessclinic.com | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 900243 | TX | MD | Medical-Surgical Registered Nurse |
| 1029924 | TX | MD | Gerontology Nurse Practitioner |
Interoperability endpoints
- cristian.rivera.1@19643.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1902413958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20323 STONEBRIDGE TERRACE CT",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774074193",
"telephone_number": "832-671-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 W 20TH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770082441",
"telephone_number": "713-838-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "CRISTIAN",
"middle_name": "H",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-24",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "TX",
"license": "900243",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1029924",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cristian@renalaccessclinic.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "427 W 20th St",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770082441",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.