Denise Jolynn Rivers, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

045254 Issued in NC

Practice address

523 North US 1Hwy
Rockingham, NC 28379

Phone

(910) 719-4335

Fax

(910) 434-8668

NPI assigned

Aug 24, 2022

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Daymark Recovery Services, Inc.

  • Multi-Specialty Clinic/Center
  • Concord, NC
  • NPI 1558329243
  NPD

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1952020760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 NORTH US 1HWY",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "28379",
            "telephone_number": "910-719-4335",
            "fax_number": "910-434-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 NORTH US 1HWY",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "28379",
            "telephone_number": "910-719-4335",
            "fax_number": "910-434-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "DENISE",
        "middle_name": "JOLYNN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "045254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO NUMBERS",
            "identifier": "045254",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richmond Pediatrics
• Richmond Surgical Clinic PA
• Richmond Urology Clinic, PA
• Richmond Womens Center
• Latoya Riley
• Serenity Kaeli Roberts
• Lenita Robinson
• Rockingham Children & Family Counseling, PA
• Rockingham Healthcare, Inc (The Hermitage Retirement Center)
• Rockingham Manor, LLC (Rockingham Manor)

• Licensed Practical Nurse in Rockingham, NC
• Providers in Rockingham, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.