Individual provider Active NPI

Kristen Marchelle Schive, LVN

  • Licensed Vocational Nurse
  • Riverside, CA
National Provider Identifier
1912424631
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
688100 Issued in CA
Practice address
2743 Orange St
Riverside, CA 92501-2503
Phone
(951) 788-9515
NPI assigned
Aug 23, 2017
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 688100 CA Primary

Addresses

Primary practice location

2743 Orange St
Riverside, CA 92501-2503

Mailing address

2743 Orange St
Riverside, CA 92501-2503
Phone (951) 788-9515

Other practice location 1

4750 Palm Ave
Riverside, CA 92501-4012
Phone (951) 686-0021

Other practice location 2

2452 Wilshire St
Riverside, CA 92501-2144
Phone (951) 682-6631

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

State licenses

LicenseStateTypeSpecialty
688100CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Whiteside Manor, Inc. Past Accepting new patients
Whiteside Manor, Palm Facility PastSince Apr 1, 2020 Accepting new patients
Telecare PastSince Apr 9, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1912424631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 ORANGE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012503",
            "telephone_number": "951-788-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 ORANGE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012503",
            "telephone_number": "951-788-9515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925014012",
            "country_code": "US",
            "telephone_number": "951-686-0021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2452 Wilshire St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925012144",
            "country_code": "US",
            "telephone_number": "951-682-6631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHIVE",
        "first_name": "KRISTEN",
        "middle_name": "MARCHELLE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "688100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

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