TENNILLE RIVERA FNP NPI 1992430904

NPI Information

  • NPI: 1992430904
  • Provider Name: TENNILLE RIVERA, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 95 CRYSTAL RUN RD
    MIDDLETOWN, NY
    ZIP 10941
  • Phone: (845) 703-6999

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NPI Details

Tennille Rivera, FNP is a family nurse practitioner in Middletown, NY. Tennille Rivera, FNP NPI is 1992430904. 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:

95 CRYSTAL RUN RD
MIDDLETOWN, NY
ZIP 10941-001
Phone: (845) 703-6999
Fax: (845) 703-6297

The enumeration date for this NPI number is 7/22/2022 and was last updated on 9/28/2022.

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
1363LF0000XNurse PractitionerFamilyF350261NEW YORKYes

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: 11/21/2025

NPI Synchronization or Removal

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