MRS. ERIN EILEEN RIVERA


Address: 415 E Cook Rd, Suite 100, Fort Wayne, IN 46825-3636
Phone: 2604896030

MRS. ERIN EILEEN RIVERA (NPI# 1790893147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790893147
Entity Type Individual
Full Name MRS. ERIN EILEEN RIVERA
Credential PHD, CNS, APRN, BC
Practice Address 415 E Cook Rd
Suite 100
Fort Wayne
IN 46825-3636
Practice Telephone 2604896030
Practice Fax Number 2604895536
Mailing Telephone 2604896030
Mailing Fax Number 2604895536
Enumeration Date 2006-08-27
Last Update Date 2012-04-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364S00000X Clinical Nurse Specialist 70000103A IN Physician Assistants & Advanced Practice Nursing Providers
N 364SG0600X Clinical Nurse Specialist
Specialization: Gerontology
70000103A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 201006300 05

Other Providers ERIN RIVERA

NPI Name Taxonomy Address Enumeration
1417037128 Erin M Rivera Optometrist 545 South Broadway #500, Denver, CO 80209 2006-10-17
1003323874 Erin Walley Rivera Social Worker 5245 N Socrum Loop Rd, Lakeland, FL 33809-4253 2018-01-03
1649790049 Erin Dixon Rivera Behavioral Analyst 29423 Fox Run Blvd, Spring, TX 77386-2497 2017-06-27

Office Location

Street Address 415 E COOK RD
SUITE 100
City FORT WAYNE
State IN
Zip Code 46825-3636

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952394769 Laura Christine Parker Counselor 415 E Cook Rd, Suite 100, Fort Wayne, IN 46825-3636 2005-08-26
1043474398 Julia Anne Oleary Counselor 415 E Cook Rd, Ste. 100, Fort Wayne, IN 46825-3636 2008-07-16
1013076413 Marcia K Grant Social Worker 415 E Cook Rd, Suite 100, Fort Wayne, IN 46825-3636 2006-12-08
1538125091 Ted L Ramsey Social Worker 415 E Cook Rd, Suite 100, Fort Wayne, IN 46825-3636 2006-04-25
1902862410 David Cooper Social Worker 415 E Cook Rd, Ste 100, Fort Wayne, IN 46825-3636 2006-04-24
1083679096 Robert Doyal Psychiatry & Neurology 415 E Cook Rd, Ste 100, Fort Wayne, IN 46825-3636 2006-04-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1558815712 Nathan Paul Miller Physical Therapist 10006 Auburn Park Dr, Fort Wayne, IN 46825 2016-08-05
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Taxonomy Information

Taxonomy Code 364S00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist

Taxonomy Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205117454 Deanna L. Massie Clinical Nurse Specialist 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804-4159 2011-09-01
1558444984 Catherine A Duchovic Clinical Nurse Specialist 909 E State Blvd, Fort Wayne, IN 46805-3404 2006-10-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235653908 Amanda J Blanton Clinical Nurse Specialist 350 W Columbia St Ste 350, Evansville, IN 47710-5610 2017-08-03
1144657123 Tanya May Clary Clinical Nurse Specialist 11725 N. Illinois St, Suite 350, Carmel, IN 46032-3009 2013-10-04
1851471221 Margaret Rose Payne Clinical Nurse Specialist 850 N Meridian St, 2nd Floor, Indianapolis, IN 46204-1098 2006-10-17
1720090947 Kimberly Mellencamp Freeman Clinical Nurse Specialist 2325 18th St, Suite 210, Columbus, IN 47201-5388 2006-08-13
1710944863 Penni Lorraine Cremer Clinical Nurse Specialist 1424 E 91st St, Indianapolis, IN 46240-1902 2006-05-01
1902864036 Karen E. Hughes Clinical Nurse Specialist 1345 Unity Pl Ste 135, Lafayette, IN 47905 2006-05-01
1558978353 Ann Allison Clinical Nurse Specialist 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 2020-09-25
1518592278 Ivy Rynearson Clinical Nurse Specialist 1345 Unity Pl Ste 355, Lafayette, IN 47905-5761 2020-03-03
1568019354 Deaconess Hospital, Inc Clinical Nurse Specialist 4111 Gateway Blvd, Newburgh, IN 47630-8954 2019-08-26
1942761218 Brittany Sue Waggoner Clinical Nurse Specialist 1000 E Main St, Danville, IN 46122-1948 2019-03-28
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Competitor

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City FORT WAYNE
Zip Code 46825

Improve Information

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Dataset Information

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.

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