CHARISSE LENELL RIVERS NP NPI 1255390381

NPI Information

NPI: 1255390381
Provider Name: CHARISSE LENELL RIVERS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
9991 MARSH LN
DALLAS, TX
ZIP 75220
Phone: (214) 358-0090
Get Directions

Charisse Lenell Rivers, NP is a family nurse practitioner in Dallas, TX. Charisse Lenell Rivers, NP NPI is 1255390381. 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:

9991 MARSH LN
DALLAS, TX
ZIP 75220-766
Phone: (214) 358-0090
Fax: (214) 358-0760

The NPI 1255390381 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 3/18/2006 and was last updated on 11/23/2015.

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	363LF0000X	Nurse Practitioner	Family	522465	TEXAS	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
1	S70868	MEDICARE UPIN
2	8C6798	MEDICARE ID-TYPE UNSPECIFIED
3	042485504	MEDICAID	TEXAS
4	8K6298	MEDICARE PIN	TEXAS
5	042485506	MEDICAID	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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