Active NPIIndividual providerSole proprietor

Ms. Lissette Rivas, LPN

Licensed Practical Nurse in Valley Cottage, New York

NPI Number1134585680
Practice location
405 Sierra Vista Lane, Valley Cottage, NY 10989
Fax
845-220-2121
Last updated
January 13, 2016

Lissette Rivas is a Licensed Practical Nurse based in Valley Cottage, NY. Lissette Rivas practices in Valley Cottage, NY and has the professional credentials of LPN. The NPI Number for Lissette Rivas is 1134585680 and holds a License No. 250282-1 (NY). The current practice location address for Lissette Rivas is 405 Sierra Vista Lane, Valley Cottage, NY 10989 and can be reached out via phone at 845-220-2146 and via fax at 845-220-2121.

Provider Profile Details

NPI Number
1134585680
Provider Name
Lissette Rivas
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
405 Sierra Vista Lane, Valley Cottage, NY 10989
Phone Number
845-220-2146
Fax Number
845-220-2121
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 13, 2016
Last Update Date
January 13, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
405 Sierra Vista Lane
Valley Cottage, NY 10989
Zip
10989
Phone Number
845-220-2146
Fax Number
845-220-2121
Valley Cottage, NY 10989Get directions →

Provider Business Mailing Address Details

Address
405 Sierra Vista Lane
Valley Cottage, NY 10989
City
Valley Cottage
State
NY
Zip
10989
Phone Number
845-220-2146
Fax Number
845-220-2121

License Information

License Number
250282-1
License State
NY
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Lissette Rivas, LPN?

The NPI number of Ms. Lissette Rivas, LPN is 1134585680. It was assigned on January 13, 2016 and is currently active in the NPPES registry.

What is the specialty of Ms. Lissette Rivas, LPN?

Ms. Lissette Rivas, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 250282-1.

Where does Ms. Lissette Rivas, LPN practice?

The practice location is 405 Sierra Vista Lane, Valley Cottage, NY 10989. The office can be reached at 845-220-2146 (phone) or 845-220-2121 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134585680 directly on the NPPES registry website.

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