Rivers Edge Primary Care LLC
Nurse Practitioner, Primary Care in Chicopee, Massachusetts
1790378487- Practice location
- 821 E Main St Ste 3, Chicopee, MA 01020-6306
- Phone
- 413-695-6774
- Fax
- —
- Last updated
- February 15, 2021
Rivers Edge Primary Care LLC is a healthcare organization based in Chicopee, MA. Rivers Edge Primary Care LLC practices in Chicopee, MA. The NPI Number for Rivers Edge Primary Care LLC is 1790378487. The current practice location address for Rivers Edge Primary Care LLC is 821 E Main St Ste 3, Chicopee, MA 01020-6306 and can be reached out via phone at 413-695-6774.
Provider Profile Details
- NPI Number
- 1790378487
- Provider Name
- Rivers Edge Primary Care LLC
- Provider Entity Type
- Organization
- Address
- 821 E Main St Ste 3, Chicopee, MA 01020-6306
- Phone Number
- 413-695-6774
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Organization Subpart
- No
- Authorized Official
- Dr. Jennifer L Jordan, DNP · Member · 413-695-6774
- Provider Enumeration Date
- February 15, 2021
- Last Update Date
- February 15, 2021
- Certification Date
- February 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 821 E Main St Ste 3
Chicopee, MA 01020-6306 - City
- Chicopee
- State
- Massachusetts
- Zip
- 01020-6306
- Phone Number
- 413-695-6774
Provider Business Mailing Address Details
- Address
- 821 E Main St Ste 3
Chicopee, MA 01020-6306 - City
- Chicopee
- State
- MA
- Zip
- 01020-6306
- Phone Number
- 413-695-6774
License Information
- Taxonomy (1)
- Nurse Practitioner, Adult Health · 363LA2200X
- Taxonomy (2)
- Nurse Practitioner, Community Health · 363LC1500X
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X
- Taxonomy (4)
- Nurse Practitioner, Women's Health · 363LW0102X
- Taxonomy (5)
- Nurse Practitioner, Primary Care · 363LP2300X · 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 Rivers Edge Primary Care LLC?
The NPI number of Rivers Edge Primary Care LLC is 1790378487. It was assigned on February 15, 2021 and is currently active in the NPPES registry.
What is the specialty of Rivers Edge Primary Care LLC?
Rivers Edge Primary Care LLC is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X).
Where does Rivers Edge Primary Care LLC practice?
The practice location is 821 E Main St Ste 3, Chicopee, MA 01020-6306. The office can be reached at 413-695-6774 (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 1790378487 directly on the NPPES registry website.