Active NPI
Emily Rivera
- Family Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200386
- Practice address
- 13920 Quailbrook Dr
Oklahoma City, OK 73134-1718 - Phone
- (405) 848-8884
- Fax
- (405) 713-4656
- NPI assigned
- Jan 13, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200386 | OK | Primary |
Addresses
Primary practice location
13920 Quailbrook Dr
Oklahoma City, OK 73134-1718
Mailing address
5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone (405) 848-8884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F09201166 | Other | AANP | |
| 200386 | Other | OK | NP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4492
Phone (405) 945-4589
4219 S Western Ave
Integris Southwest Rehabilitation
Oklahoma City, OK 73109-3410
Phone (405) 644-5256
5501 N Portland
Select Specialty Hosp West
Oklahoma City, OK 73112-2074
Phone (405) 951-4016
Hospital & facility affiliations
- Integris Baptist Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200386 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Integris Ambulatory Care C Orporation | Past | Accepting new patients |
Locations
5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155
13920 Quailbrook Dr
Oklahoma City, OK 73134
Phone (405) 848-8884
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
Interoperability endpoints
- erivera14336@direct.integrisok.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1326076027
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1598837221
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1659443372
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1881760759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1932798089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE STE 280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125555",
"telephone_number": "405-848-8884",
"fax_number": "405-713-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13920 QUAILBROOK DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341718",
"telephone_number": "405-848-8884",
"fax_number": "405-713-4656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-13",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "200386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP",
"identifier": "F09201166",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP",
"identifier": "200386",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.