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STACIE LYNNE RIVERS M.D.
NPI 1144490905
Preferred Provider Organization in Las Vegas, NV

Active since March 08, 2008
6795 EDMOND ST, SUITE 210, LAS VEGAS, NV 89118(702) 524-2928 Get Directions Write a Review

NPPES record last updated: March 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacie Lynne Rivers M.d. NPPES

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

STACIE LYNNE RIVERS M.D. (NPI 1144490905) is an individual preferred provider organization provider in Las Vegas, Nevada, licensed in Nevada (5243) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1144490905
Entity TypeIndividualFemale
Primary Taxonomy305R00000X
Provider Legal NameSTACIE LYNNE RIVERSCredential: M.D.
Location Address6795 EDMOND ST, SUITE 210Las Vegas, NV 89118-3505
Mailing AddressPo Box 370549Las Vegas, NV 89137-0549 · (702) 524-2928
Phone(702) 524-2928
Sole ProprietorYes
Enumeration DateMarch 8, 2008
✔ NPI 1144490905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in NV · 5243
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
6795 EDMOND ST, Las Vegas, NV 89118
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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 Stacie Rivers's NPI number?

The NPI number for Stacie Rivers is 1144490905. It was assigned to this individual provider in the NPPES registry on March 8, 2008.

Where is Stacie Rivers located?

Stacie Rivers practices at 6795 Edmond St Suite 210, Las Vegas, NV 89118. The listed phone number is (702) 524-2928.

What is Stacie Rivers's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Stacie Rivers was last updated on March 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.