LISA M RIVERA (NPI# 1154759447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154759447 |
| Entity Type | Individual |
| Full Name | LISA M RIVERA |
| Credential | PMHNP-BC |
| Practice Address |
627 Ne Evans St Mcminnville OR 97128-3923 |
| Practice Telephone | 5034347523 |
| Practice Fax Number | 5034349846 |
| Mailing Telephone | 5034347523 |
| Mailing Fax Number | 5034349846 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
201393400 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083074413 | Lisa Marie Rivera | Case Manager/Care Coordinator | 5683 Tucson Dr, #1, San Jose, CA 95118-3217 | 2016-02-26 |
| 1811352784 | Lisa Marie Rivera | Pharmacist | 1600 Mallard Cir, Mansfield, TX 76063-4082 | 2015-12-20 |
| 1366427395 | Lisa Katherine Rivera | Pathology | 590 Moffet St, Bldg 4077, Joint Base Pearl Harbor-hickam, Honolulu, HI 96853-5168 | 2005-12-13 |
| 1780675868 | Lisa Jan Rivera | Social Worker | 17 W Merrick Rd, Freeport, NY 11520-3873 | 2005-10-28 |
| 1245852631 | Lisa J Rivera | Nurse Practitioner | 901 W Main St, Freehold, NJ 07728-2549 | 2020-05-08 |
| 1992337729 | Lisa Maureen Rivera | Family Medicine | 70 Main St, Florence, MA 01062-1487 | 2020-02-10 |
| 1598233322 | Lisa Rivera | Occupational Therapist | 11690 Neelsville Church Rd, Germantown, MD 20876-4127 | 2018-11-09 |
| 1750856449 | Lisa Rivera | Case Manager/Care Coordinator | 3167 Fulton Rd, Cleveland, OH 44109-1465 | 2018-10-09 |
| 1437522406 | Lisa Rivera | Dental Hygienist | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2015-11-12 |
| 1033581749 | Lisa Rivera | Counselor | 1225 Ken Pratt Blvd, Ste. 200, Longmont, CO 80501-6518 | 2015-10-21 |
| Street Address |
627 NE EVANS ST |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265820 | Stephanie Harper Potts | Nurse Practitioner | 627 Ne Evans St, Mcminnville, OR 97128 | 2005-06-14 |
| 1700492139 | Katelyn M Spain | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-09-21 |
| 1053926287 | Molly Marie Joubert | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-09-14 |
| 1861019085 | Ashley Young | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-07-03 |
| 1033735626 | Jamie Jolyn Smith | Case Manager/Care Coordinator | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-06-19 |
| 1265055800 | Anna Spoden | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-05-18 |
| 1306468442 | Kelly Stone | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-05-12 |
| 1598385221 | Shaeli Diane Ferguson | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-04-22 |
| 1588291231 | Laura Molloy | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-03-24 |
| 1194351288 | Darlene Michelle Gutbrod | Nurse's Aide | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2020-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336593292 | Larry Dewayne Sneed | Nurse Practitioner | 764 Beckridge Rd, Mcminnville, TN 37110-7479 | 2016-04-18 |
| 1629499280 | Julie Floyd | Nurse Practitioner | 406 North Spring Street, Mcminnville, TN 37111 | 2013-12-30 |
| 1235293549 | Gayle M Woosley | Nurse Practitioner | 420 N.e. 5th St, Mcminnville, OR 97128 | 2006-12-20 |
| 1558305227 | Mary T Dyess | Nurse Practitioner | 120 Omni Dr, Cheer Mental Health, Mcminnville, TN 37110-1331 | 2006-06-15 |
| 1629544903 | Thrive Integrative Psychiatry, PC | Nurse Practitioner | 117 Nw 8th St, Mcminnville, OR 97128-5560 | 2018-10-15 |
| 1720459332 | Deborah Lynn Flensborg | Nurse Practitioner | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2015-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920148 | Hardcore Happy LLC | Nurse Practitioner | 740 Ne 116th Ct, Portland, OR 97220-2223 | 2020-10-20 |
| 1457967325 | Megan L Langworthy | Nurse Practitioner | 1914 Se 46th Ave, Portland, OR 97215-3148 | 2020-09-16 |
| 1629687892 | Robin Sue Finney | Nurse Practitioner | 1957 Thompson Rd Ste I, Coos Bay, OR 97420-2040 | 2020-07-23 |
| 1518584457 | Akhena Health & Wellness LLC | Nurse Practitioner | 8855 Sw Holly Ln Ste 129, Wilsonville, OR 97070-8793 | 2020-06-26 |
| 1447871678 | Monarch Mental Health LLC | Nurse Practitioner | 1927 Channel St, North Bend, OR 97459-1826 | 2020-04-28 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1366071607 | Med Rx Partners, P.C. | Nurse Practitioner | 12115 Sw 70th Ave Ste 202, Tigard, OR 97223-9648 | 2020-04-08 |
| 1417583170 | Brittany Joy Monson | Nurse Practitioner | 12115 Sw 70th Ave, Tigard, OR 97223-9647 | 2020-03-13 |
| 1073147716 | Paradigm Mental Health and Wellness LLC | Nurse Practitioner | 724 S Central Ave Ste 101d, Medford, OR 97501-7808 | 2020-03-02 |
| 1730712290 | Lucy Anne Bloedon | Nurse Practitioner | 4020 Sw Iowa St, Portland, OR 97221-3423 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
Please comment or provide details below to improve the information on LISA M RIVERA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.