DEBORAH RIVERA (NPI# 1992777130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992777130 |
| Entity Type | Individual |
| Full Name | DEBORAH RIVERA |
| Credential | PA-C |
| Practice Address |
Rehoboth Mckinley Christian Health Care Services 1900 Red Rock Drive Gallup NM 87301 |
| Mailing Address |
6801 Jefferson Nest 350 Albuquerque NM 87109-4361 |
| Practice Telephone | 5058637200 |
| Mailing Telephone | 5058848900 |
| Mailing Fax Number | 8886994725 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2015-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2003-003 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MOLINA | PROVP15120 | 01 |
| RAILROAD MEDICARE | P00081095 | 01 | |
| AZ | 833104 | 05 | |
| NM | LOVELACE HEALTH/SALUD | 10005924 | 01 |
| NM | PRESBYTERIAN HEALTH/SALUD | 201044362 | 01 |
| NM | 85324582 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477946028 | Deborah May Rivera | Massage Therapist | 840 S.e. Bayshore Dr., Oak Harbor, WA 98277 | 2015-03-06 |
| 1669680591 | Deborah Rivera | Dietitian, Registered | Alts. Parque 212 Blvd. Media Luna, Apt. 2901, Carolina, PR 00987 | 2007-05-21 |
| 1679138309 | Deborah Rivera | Behavior Technician | 950a Union Rd Ste 108, West Seneca, NY 14224-3432 | 2019-05-08 |
| 1013385640 | Deborah Rivera | Counselor | 344 Fulton Ave, Hempstead, NY 11550-3923 | 2015-09-14 |
| 1154747202 | Deborah Rivera | Hearing Instrument Specialist | 5975 N Federal Hwy, Suite 106, Ft Lauderdale, FL 33308-2690 | 2014-03-13 |
| 1780886937 | Deborah Rivera | Counselor | 719 E Oak St, Kissimmee, FL 34744-4580 | 2007-06-01 |
| 1629104625 | Deborah Rivera | Licensed Practical Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2007-02-26 |
| Street Address |
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES 1900 RED ROCK DRIVE |
| City | GALLUP |
| State | NM |
| Zip Code | 87301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558404582 | Jyothsna Guttikonda | Internal Medicine | Rehoboth Mckinley Christian Health Care Services, 1901 Red Rock Drive, Gallup, NM 87301 | 2007-02-15 |
| 1942278023 | Margaret Clare Futrell Stachura | Social Worker | Rehoboth Mckinley Christian Health Care Services, 650 Vanden Bosch Drive, Gallup, NM 87301 | 2006-03-14 |
| 1194797779 | Darryl Macias | Emergency Medicine | Rehoboth Mckinley Christian Health Care Services, 1901 Red Rock Drive, Gallup, NM 87301 | 2006-02-07 |
| 1750353330 | James Hathaway | Pathology | Rehoboth Mckinley Christian Health Care Services, 1901 Red Rock Drive, Gallup, NM 87301 | 2006-02-07 |
| 1245202357 | Thomas Robinson | Internal Medicine | Rehoboth Mckinley Christian Health Care Services, 2111 College Drive, Gallup, NM 87301 | 2006-02-02 |
| 1831161082 | Gerald Robertson | Internal Medicine | Rehoboth Mckinley Christian Health Care Services, 2111 College Drive, Gallup, NM 87301 | 2006-02-02 |
| 1033181151 | Mehdi Sattari | Emergency Medicine | Rehoboth Mckinley Christian Health Care Services, 1901 Red Rock Drive, Gallup, NM 87301 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| 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 |
|---|---|---|---|---|
| 1487114765 | Ashley Elizabeth Bruno | Physician Assistant | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2019-03-22 |
| 1326204025 | Barbara Jean Bradley | Physician Assistant | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-08-01 |
| 1588791669 | William James Winter IIi | Physician Assistant | 516 East Nizhoni Blvd., Gallup, NM 87301 | 2007-02-27 |
| 1982718508 | Alan David Philips | Physician Assistant | 1801 Redrock Dr, Gallup, NM 87301-5655 | 2006-08-19 |
| 1932112752 | Elaine E. Polk | Physician Assistant | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-08-14 |
| 1699782102 | Patrick M. Dalessio | Physician Assistant | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-08-01 |
| 1851321533 | Hurley Benally | Physician Assistant | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-07-05 |
| 1518995950 | Susan A Krzymowski | Physician Assistant | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-06-28 |
| 1467489567 | Eleanor J Begay | Physician Assistant | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-06-26 |
| 1508809096 | Julia N. Lehman | Physician Assistant | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-06-13 |
| Find all providers in GALLUP | ||||
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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.