Individual provider Active NPI

Doris Marie Rivera, RN,NNP-BC

  • Neonatal Nurse Practitioner
  • Richardson, TX
National Provider Identifier
1952424418
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
239552 Issued in TX
Practice address
3001 E President George Bush Hwy Ste 250
Richardson, TX 75082-3552
Phone
(432) 332-4983
NPI assigned
Apr 9, 2007
Last updated
Oct 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 239552 TX Primary

Addresses

Primary practice location

3001 E President George Bush Hwy Ste 250
Richardson, TX 75082-3552

Mailing address

2653 San Andres Dr
Odessa, TX 79763-2331
Phone (432) 334-6124

Other identifiers 1

IdentifierTypeStateIssuer
239552OtherTXNP LICENSE

Other names 1

  • Marie Rivera Other name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
239552TXMDNeonatal Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1952424418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 SAN ANDRES DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797632331",
            "telephone_number": "432-334-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E PRESIDENT GEORGE BUSH HWY STE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823552",
            "telephone_number": "432-332-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "DORIS",
        "middle_name": "MARIE",
        "credential": "RN,NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "239552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "239552",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "RIVERA",
            "credential": "RN, NNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.