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JACKIE RIVERA LPN
NPI 1093260747
Student in an Organized Health Care Education/Training Program in Columbia, MO

Active since August 23, 2016
807 N PROVIDENCE RD, COLUMBIA, MO 65203(573) 443-8706 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Rivera Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE RIVERA LPN (NPI 1093260747) is an individual student in an organized health care education/training program in Columbia, Missouri, licensed in Missouri (2010009084) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1093260747
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACKIE RIVERACredential: LPN
Location Address807 N PROVIDENCE RDColumbia, MO 65203-4359
Mailing Address807 N Providence RdColumbia, MO 65203-4359 · (573) 443-8706
Phone(573) 443-8706
Sole ProprietorNo
Enumeration DateAugust 23, 2016
✔ NPI 1093260747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MO · 2010009084
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
807 N PROVIDENCE RD, Columbia, MO 65203
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KISHIA HARMS LMSW
Social Worker (Clinical)
807 N PROVIDENCE RD
COLUMBIA, MO 65203
Boone County (573) 301-1577
CENTRAL MISSOURI COMMUNITY ACTION
Early Intervention Provider Agency
807 N PROVIDENCE RD, STE. B
COLUMBIA, MO 65203
Boone County (573) 443-8706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Rivera's NPI number?

The NPI number for Jackie Rivera is 1093260747. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Where is Jackie Rivera located?

Jackie Rivera practices at 807 N Providence Rd, Columbia, MO 65203. The listed phone number is (573) 443-8706.

What is Jackie Rivera's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackie Rivera was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.