MR. JOSEPH LIONEL RIVAS SR. (NPI# 1619189198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619189198 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH LIONEL RIVAS SR. |
| Credential | IDC |
| Practice Address |
2080 Child St Jacksonville FL 32214-5005 |
| Mailing Address |
7925 Gulf Rd S Jacksonville FL 32244-2524 |
| Practice Telephone | 9045423441 |
| Mailing Telephone | 9047712211 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639445877 | Joseph R Rivas | Neurological Surgery | 511 W Belmont Ave, #32, Chicago, IL 60657-4663 | 2012-03-30 |
| 1508375403 | Joseph Rivas | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2017-09-22 |
| 1922496876 | Joseph Rivas | Physical Therapist | 262 New Shackle Island Rd Ste 210, Hendersonville, TN 37075-2489 | 2014-12-30 |
| Street Address |
2080 CHILD ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32214-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205836202 | Juan Pedro Rivera | Psychiatry & Neurology | 2080 Child St, Jacksonville, FL 32214-5005 | 2005-08-01 |
| 1477169662 | Bobby Joe Neal Kimbro | General Practice | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-09-22 |
| 1659986529 | Henry Lee Simmons Jr. | Pharmacist | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-09-09 |
| 1982228441 | Chantel Charais | Nurse Practitioner | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-06-01 |
| 1598388936 | Joseph Royer | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-05-20 |
| 1780206359 | Devin Alan Rickard | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-05-17 |
| 1881216307 | Adam Dillon Ratcliff | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-05-07 |
| 1619598588 | Sarah Chilson | Nurse Practitioner | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-05-02 |
| 1942820360 | Gregory Hay | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-04-27 |
| 1568083996 | Aaron Hancock | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699255653 | Natalia Rosa Terreros | Nurse Practitioner | 2080 Childs Street, Jacksonville, FL 32214 | 2018-08-20 |
| 1841586120 | Travis Christopher Allemang | Urology | 2080 Child St Dept 5000, Jacksonville, FL 32214 | 2011-06-24 |
| 1730169202 | Quinn Steven Bastian | Psychologist | 2080 Child Street, Mental Health Dept - Bldg 2034 / Nh Jax, Jacksonville, FL 32214 | 2006-01-19 |
| 1760753982 | Jennifer Marie Brooks | Registered Nurse | 2080 Child Street, Jacksonville, FL 32214 | 2012-01-19 |
| 1114298338 | Louis Humberto Grass IIi | Registered Nurse | 2080 Child Street, Anesthesia Dept, Jacksonville, FL 32214 | 2012-01-19 |
| 1851685713 | John Manning Lydon | Obstetrics & Gynecology | 2080 Child Street, Jacksonville, FL 32214 | 2011-06-07 |
| 1093865693 | Elisha Yvette Hansack | Pharmacist | 2080 Child Street, Jacksonville, FL 32214 | 2007-01-12 |
| 1073544466 | Ren-chang Liu | Radiology | 2080 Child Street, Jacksonville, FL 32214 | 2006-07-05 |
| 1598795742 | Beverly B. Nysewander | Nurse Practitioner | 2080 Child Street, Internal Medicine, Jacksonville, FL 32214 | 2006-07-04 |
| 1841823606 | Christine Due Higgins | Midwife | Naval Hospital Jacksonville 2089 Child St, Jacksonville, FL 32214-0001 | 2020-02-19 |
| Find all providers in zip 32214 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1740803725 | Alanna Gonzalez | Military Health Care Provider | 1453 Lindseys Crossing Dr, Jacksonville, FL 32218-8088 | 2020-05-25 |
| 1538793849 | Alberto Kris Cipollone | Military Health Care Provider | Bon Homme Richard Ave Bldg 2480, Jacksonville, FL 32246-0046 | 2020-02-25 |
| 1376175794 | James Ernest Claypool | Military Health Care Provider | 12411 Glenn Hollow Dr, Jacksonville, FL 32226-2349 | 2020-02-05 |
| 1316584543 | Christina Koch | Military Health Care Provider | 104 Eagle River Ct, Jacksonville, NC 28540-7745 | 2019-12-06 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| 1023546108 | Gregory Donald Willden | Military Health Care Provider | Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 | 2017-06-01 |
| 1285179077 | Bill Lee Todd Davis | Military Health Care Provider | 1151 Murrill Hill Rd, Jacksonville, NC 28540-8662 | 2017-01-03 |
| 1235681545 | Huriel A Rivera Aponte | Military Health Care Provider | Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 | 2016-11-03 |
| 1659727444 | Michael Phoenix Mcfarland | Military Health Care Provider | 898 Enterprise St Unit A, Jacksonville, FL 32227-1202 | 2016-05-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32214 |
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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.