Healthcare Provider Details
I. General information
NPI: 1588980841
Provider Name (Legal Business Name): RACHEAL ANN RIVERA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/12/2010
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7625 S 24TH ST
PHOENIX AZ
85042-7009
US
IV. Provider business mailing address
7625 S 24TH ST
PHOENIX AZ
85042-7009
US
V. Phone/Fax
- Phone: 480-966-1902
- Fax: 480-967-8023
- Phone: 858-248-7988
- Fax: 480-967-8023
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 759913 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WM0102X |
| Taxonomy | Maternal Newborn Registered Nurse |
| License Number | 759913 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WM0102X |
| Taxonomy | Maternal Newborn Registered Nurse |
| License Number | 267805 |
| License Number State | AZ |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WN0003X |
| Taxonomy | Low-Risk Neonatal Registered Nurse |
| License Number | 759913 |
| License Number State | CA |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WN0003X |
| Taxonomy | Low-Risk Neonatal Registered Nurse |
| License Number | 267805 |
| License Number State | AZ |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WX0002X |
| Taxonomy | High-Risk Obstetric Registered Nurse |
| License Number | 788865 |
| License Number State | TX |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WX0002X |
| Taxonomy | High-Risk Obstetric Registered Nurse |
| License Number | 759913 |
| License Number State | CA |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WX0002X |
| Taxonomy | High-Risk Obstetric Registered Nurse |
| License Number | 267805 |
| License Number State | AZ |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WX0003X |
| Taxonomy | Inpatient Obstetric Registered Nurse |
| License Number | 759913 |
| License Number State | CA |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WX0003X |
| Taxonomy | Inpatient Obstetric Registered Nurse |
| License Number | 267805 |
| License Number State | AZ |
| # 11 | |
| Primary Taxonomy | N |
| Taxonomy Code | 164X00000X |
| Taxonomy | Licensed Vocational Nurse |
| License Number | 222445 |
| License Number State | CA |
| # 12 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | 236296 |
| License Number State | CA |
| # 13 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | 267805 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
