Jessi Lyn Rivers, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

026.0095693 Issued in VT

Practice address

1715 N West Shore Blvd Ste 410
Tampa, FL 33607-3902

Phone

(855) 623-3587

NPI assigned

Jan 26, 2021

Last updated

Jan 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Jessi Lyn Froebel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1902496656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 E PEACHAM RD",
            "city": "PEACHAM",
            "state": "VT",
            "postal_code": "058627900",
            "telephone_number": "802-752-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N WEST SHORE BLVD STE 410",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073902",
            "telephone_number": "855-623-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "JESSI",
        "middle_name": "LYN",
        "name_prefix": "Miss",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN-TEMP3816",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "082322-21",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "176787",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "808927",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0095693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSI",
            "last_name": "FROEBEL",
            "middle_name": "LYN",
            "credential": "RN, BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Riveron
• Diego Alexander Riveros
• Amy Rivers, APRN
• Delissa Jene Rivers, MSW
• Geidy Rivers, APRN
• Nilan Rivers
• Riverside Recovery of Tampa, LLC
• Riverside Spine & Pain Physicians, LLC
• Riverwood Assisted Living Facility, Inc
• Riverwood Health NH LLC (Riverwood Health & Rehabilitation Center)

• Registered Nurse in Tampa, FL
• Providers in Tampa, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.

Verify at the official NPI Registry.