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NICOLE RIVAS
NPI 1578856324
Licensed Practical Nurse in Medford, NY

Active since May 25, 2011
107 VILLAS DR, MEDFORD, NY 11763(631) 742-8305 Get Directions Write a Review

NPPES record last updated: May 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Rivas NPPES

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

NICOLE RIVAS (NPI 1578856324) is an individual licensed practical nurse in Medford, New York, licensed in New York (302709) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1578856324
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameNICOLE RIVAS
Location Address107 VILLAS DRMedford, NY 11763-2136
Mailing Address107 Villas DrMedford, NY 11763-2136 · (631) 742-8305
Phone(631) 742-8305
Sole ProprietorYes
Enumeration DateMay 25, 2011
✔ NPI 1578856324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 302709
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
107 VILLAS DR, Medford, NY 11763
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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 Nicole Rivas's NPI number?

The NPI number for Nicole Rivas is 1578856324. It was assigned to this individual provider in the NPPES registry on May 25, 2011.

Where is Nicole Rivas located?

Nicole Rivas practices at 107 Villas Dr, Medford, NY 11763. The listed phone number is (631) 742-8305.

What is Nicole Rivas's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Nicole Rivas was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.