Leevette Rivera, PA-C
Physician Assistant, Medical in Hamden, Connecticut
1780226449- Practice location
- 2165 Dixwell Ave, Hamden, CT 06514-2116
- Phone
- 203-248-2727
- Fax
- 203-691-9673
- Last updated
- November 29, 2021
Leevette Rivera is a Physician Assistant, Medical based in Hamden, CT. Leevette Rivera practices in Hamden, CT and has the professional credentials of PA-C. The NPI Number for Leevette Rivera is 1780226449 and holds a License No. 4649 (CT). The current practice location address for Leevette Rivera is 2165 Dixwell Ave, Hamden, CT 06514-2116 and can be reached out via phone at 203-248-2727 and via fax at 203-691-9673.
Provider Profile Details
- NPI Number
- 1780226449
- Provider Name
- Leevette Rivera
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2165 Dixwell Ave, Hamden, CT 06514-2116
- Phone Number
- 203-248-2727
- Fax Number
- 203-691-9673
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 15, 2019
- Last Update Date
- November 29, 2021
- Certification Date
- November 29, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2165 Dixwell Ave
Hamden, CT 06514-2116 - City
- Hamden
- State
- Connecticut
- Zip
- 06514-2116
- Phone Number
- 203-248-2727
- Fax Number
- 203-691-9673
Provider Business Mailing Address Details
- Address
- 2165 Dixwell Ave
Hamden, CT 06514-2116 - City
- Hamden
- State
- CT
- Zip
- 06514-2116
- Phone Number
- 203-248-2727
- Fax Number
- 203-691-9673
License Information
- License Number (1)
- 4649
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 4649
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Leevette Rivera, PA-C?
The NPI number of Leevette Rivera, PA-C is 1780226449. It was assigned on October 15, 2019 and is currently active in the NPPES registry.
What is the specialty of Leevette Rivera, PA-C?
Leevette Rivera, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 4649.
Where does Leevette Rivera, PA-C practice?
The practice location is 2165 Dixwell Ave, Hamden, CT 06514-2116. The office can be reached at 203-248-2727 (phone) or 203-691-9673 (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 1780226449 directly on the NPPES registry website.