MEDICARE: TIERRA RIVERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11025246	FL

General Provider Information

NPI Number	:	1679342810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIERRA RIVERA

Provider Business Mailing Address
First Line	:	3086 WHISPER LAKE LN APT B
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-8026
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3086 WHISPER LAKE LN
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-8078
Country	:	US
Telephone Number	:	407-335-2374
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2023
Last Update Date	:	12/29/2023

Similar Medicare Providers

1588788764 — FAIRFAX FAMILY PRACTICE CENTERS PC
Practice Location Address:

8078 CRESCENT PARK DRIVE , SUITE 201
GAINESVILLE, VA
20155

Practice Phone: 703-257-8090
Practice Fax: 703-257-7822

1649430349 — DR. CHI G YOUNG MD
Practice Location Address:

8078 CRESCENT PARK DRIVE , SUITE 101
GAINESVILLE, VA
20155

Practice Phone: 540-636-2028
Practice Fax:

1346584661 — MS. KATHERINE A SILVERI P.A.
Practice Location Address:

8078 CRESCENT PARK DR STE 201
GAINESVILLE, VA
20155-3449

Practice Phone: 703-753-4999
Practice Fax: 703-753-5915

1679924690 — MS. KERI UNDERWOOD M.S. CCC-SLP
Practice Location Address:

103 VILLA PARK LN
LAFAYETTE, LA
70508-8078

Practice Phone: 337-277-5541
Practice Fax:

1548704984 — BRANDON COLLINS
Practice Location Address:

8078 STONEGATE DR
TINLEY PARK, IL
60487-7194

Practice Phone: 815-546-3836
Practice Fax:

1700397072 — DR. SONYA H ALMOND DNP, FNP
Practice Location Address:

8078 CRESCENT PARK DR
GAINESVILLE, VA
20155-3448

Practice Phone: 703-753-4999
Practice Fax: 703-753-5915

Directions to “ TIERRA RIVERA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.