Active NPIIndividual provider

Kelly A Rivera, PMHNP

Nurse Practitioner, Psych/Mental Health in Worcester, Massachusetts

NPI Number1134900012
Practice location
435 Shrewsbury St, Worcester, MA 01604-1689
Fax
—
Last updated
October 9, 2023

Kelly Ann Rivera is a Nurse Practitioner, Psych/Mental Health based in Worcester, MA. Kelly Ann Rivera practices in Worcester, MA and has the professional credentials of PMHNP. The NPI Number for Kelly Ann Rivera is 1134900012 and holds a License No. RN205716 (MA). The current practice location address for Kelly Ann Rivera is 435 Shrewsbury St, Worcester, MA 01604-1689 and can be reached out via phone at 508-753-5554.

Provider Profile Details

NPI Number
1134900012
Provider Name
Kelly Ann Rivera
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
435 Shrewsbury St, Worcester, MA 01604-1689
Phone Number
508-753-5554
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
October 9, 2023
Last Update Date
October 9, 2023
Certification Date
October 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
435 Shrewsbury St
Worcester, MA 01604-1689
Zip
01604-1689
Phone Number
508-753-5554
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
435 Shrewsbury St
Worcester, MA 01604-1689
City
Worcester
State
MA
Zip
01604-1689
Phone Number
508-753-5554

License Information

License Number
RN205716
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Kelly A Rivera, PMHNP?

The NPI number of Kelly A Rivera, PMHNP is 1134900012. It was assigned on October 9, 2023 and is currently active in the NPPES registry.

What is the specialty of Kelly A Rivera, PMHNP?

Kelly A Rivera, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN205716.

Where does Kelly A Rivera, PMHNP practice?

The practice location is 435 Shrewsbury St, Worcester, MA 01604-1689. The office can be reached at 508-753-5554 (phone).

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 1134900012 directly on the NPPES registry website.

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