MRS. REBECCA RIVERA (NPI# 1184053423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184053423 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA RIVERA |
| Other Name | MS. REBECCA BIBB |
| Credential | PA-C |
| Practice Address |
7725 Highway 62 Ste 100 Charlestown IN 47111 |
| Mailing Address |
2700 Stanley Gault Pkwy Ste 129 Louisville KY 40223-5176 |
| Practice Telephone | 8122800413 |
| Practice Fax Number | 8122800465 |
| Mailing Telephone | 5022534917 |
| Mailing Fax Number | 5024875751 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10001839A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300007796 | 05 | |
| IN | IN MEDICARE | IN1189154 | 01 |
| TX | TEXAS MEDICAL BOARD PA LICENSE NUMBER | PA08679 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154772374 | Rebecca Rivera | Licensed Practical Nurse | 672 Jefferson Ave, 2, Brooklyn, NY 11221-2101 | 2016-06-29 |
| 1669677225 | Rebecca Rivera | Social Worker | 3016 31st St 1, Astoria, NY 11102-1866 | 2007-06-15 |
| 1487859914 | Rebecca R Rivera | Case Manager/Care Coordinator | 108 Williams Way, Hutto, TX 78634-5168 | 2007-06-15 |
| 1942815519 | Rebecca Rivera | Behavior Technician | 4952 Warner Ave Ste 300, Huntington Beach, CA 92649-5506 | 2020-09-10 |
| 1326693052 | Rebecca Naomi Rivera | Case Manager/Care Coordinator | 3117 Wilson Rd, Bakersfield, CA 93304-5319 | 2019-08-08 |
| 1124515077 | Rebecca Rivera | Specialist/Technologist, Other | 3400 Waterview Pkwy Ste 305, Richardson, TX 75080-1566 | 2018-04-17 |
| 1487169074 | Rebecca Regina Rivera | Physical Therapist | 401 Indiana Ave, Mayfield, KY 42066-1766 | 2017-12-05 |
| 1902330673 | Rebecca Rivera | Physician Assistant | 122 W Champion St, Edinburg, TX 78539-4429 | 2017-04-19 |
| 1639615073 | Rebecca V. Rivera | Advanced Practice Midwife | 9440 E. Ironwood Square Dr., Scottsdale, AZ 85258-4569 | 2017-01-09 |
| 1629444062 | Rebecca Maria Rivera | Nurse Practitioner | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2015-08-20 |
| Street Address |
7725 HIGHWAY 62 STE 100 |
| City | CHARLESTOWN |
| State | IN |
| Zip Code | 47111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841241320 | Theresa Stroot | Family Medicine | 7725 Highway 62 Ste 100, Charlestown, IN 47111-9637 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003275488 | Janet Hilderbrand | Counselor | 7509 Charleston Pike, Charleston, IN 47111 | 2016-02-15 |
| 1891117784 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 2400 Market Street, Charlestown, IN 47111 | 2014-01-10 |
| 1497996466 | Rivercrossing Independent and Assisted Living Community | Assisted Living Facility | 2400 West Market Street, Charlestown, IN 47111 | 2009-03-20 |
| 1790973030 | Saint Catherine Physicians Services LLC | Nurse Practitioner | 2100 Market St., Charlestown, IN 47111 | 2007-10-11 |
| 1962628990 | Travis Lee Gross | Dentist | 9419 State Road 403, Charlestown, IN 47111 | 2007-04-18 |
| 1366585572 | William H Garner IIi | Surgery | 2100 Market Street, Charlestown, IN 47111 | 2007-02-15 |
| 1871603803 | Gary E Smith | Dentist | 1417 Market St, Charlestown, IN 47111 | 2006-08-31 |
| 1841239464 | Jennifer S Kramp | Physical Therapist | 9407 County Rd 403, Charlestown, IN 47111 | 2006-06-06 |
| 1861472169 | Michael Patrick Hensley | Physical Therapist | 9407 Highway 403, Charlestown, IN 47111 | 2006-01-20 |
| 1598289183 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9616 County Road 403, Charlestown, IN 47111 | 2017-07-26 |
| Find all providers in zip 47111 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685383 | Trisha Auduong | Physician Assistant | 42 8th St Apt 1310, Charlestown, MA 02129-4215 | 2020-09-28 |
| 1649809047 | Amanda Marie Bush | Physician Assistant | 7203 Vesta Rd, Charlestown, IN 47111-9302 | 2020-04-07 |
| 1093364895 | Alexander George Protosevich | Physician Assistant | 250 Ceda Rd, Charlestown, NH 03603-4511 | 2019-09-05 |
| 1871052548 | Christine Rose Mcgrail | Physician Assistant | 300 1st Ave Ste 2105, Charlestown, MA 02129-3109 | 2019-03-13 |
| 1336762699 | Makayla Medeiros | Physician Assistant | 250 Ceda Rd, Charlestown, NH 03603-4511 | 2020-05-21 |
| 1639798416 | Meagan Murtagh | Physician Assistant | 36 1st Ave, Charlestown, MA 02129-4557 | 2020-04-13 |
| 1518503077 | Ikenna Chibuzor Neboh | Physician Assistant | 36 1st Ave, Charlestown, MA 02129-4557 | 2019-11-20 |
| 1841672136 | Elizabeth Muscatiello | Physician Assistant | 75 W School St, Unit 510, Charlestown, MA 02129-2931 | 2015-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133894 | Kaylin Michelle Lapel | Physician Assistant | 1540 Orchard Park Dr N, Carmel, IN 46280-1513 | 2020-11-01 |
| 1639779739 | Brock Sokolowski | Physician Assistant | 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 | 2020-10-28 |
| 1699373357 | Dillon Etter | Physician Assistant | 2848 N Delaware St, Indianapolis, IN 46205-4118 | 2020-10-15 |
| 1417555996 | Kathleen Wiles | Physician Assistant | 3805 Pine Creek Cir, New Albany, IN 47150-2057 | 2020-10-15 |
| 1962017210 | Taylor Lee Bowen | Physician Assistant | 2760 Woodwind Way, Indianapolis, IN 46268-4233 | 2020-09-14 |
| 1275148421 | James Cameron Fields | Physician Assistant | 532 Bridgestone Dr, Mooresville, IN 46158-7304 | 2020-09-14 |
| 1912512476 | William Terrell Parmenter | Physician Assistant | 2230 English Ave, Indianapolis, IN 46201-4017 | 2020-09-11 |
| 1457966376 | Angela Shearon | Physician Assistant | 4325 N College Ave, Indianapolis, IN 46205-1931 | 2020-09-09 |
| 1831702570 | Nathan Dean Hailey | Physician Assistant | 1115 Ronald Reagan Pkwy Ste 247, Avon, IN 46123-6911 | 2020-08-24 |
| 1104438944 | Erin R Griffin | Physician Assistant | 5621 Woodshire Dr Apt 5, Fort Wayne, IN 46835-2959 | 2020-08-22 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTOWN |
| Zip Code | 47111 |
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| 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.