JONELLE MORICIA RIVAS-GIBSON ARNP NPI 1083966717

NPI Information

NPI: 1083966717
Provider Name: JONELLE MORICIA RIVAS-GIBSON, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1600 N STATE ROAD 7 STE 200
LAUDERHILL, FL
ZIP 33313
Phone: (954) 900-9804
Get Directions

Jonelle Moricia Rivas-gibson, ARNP is a family nurse practitioner in Lauderhill, FL with 12 years of experience. Jonelle Moricia Rivas-gibson, ARNP NPI is 1083966717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 N STATE ROAD 7 STE 200
LAUDERHILL, FL
ZIP 33313-853
Phone: (954) 900-9804

The NPI 1083966717 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2012 and was last updated on 12/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		ARNP9266389	FLORIDA	No
2	364SP0813X	Clinical Nurse Specialist	Psychiatric/Mental Health, Geropsychiatric	APRN9266389	FLORIDA	No
3	363LF0000X	Nurse Practitioner	Family	APRN9266389	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	007269700	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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