RIVERS EDGE PRIMARY CARE LLC
NPI 1790378487
Nurse Practitioner - Primary Care in Chicopee, MA

Q: What is Rivers Edge Primary Care LLC's NPI number?

The NPI number for Rivers Edge Primary Care LLC is 1790378487. It was assigned to this organization in the NPPES registry on February 15, 2021.

Q: What is Rivers Edge Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since February 15, 2021

821 E MAIN ST STE 3, CHICOPEE, MA 01020(413) 695-6774 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rivers Edge Primary Care Llc NPPES

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

RIVERS EDGE PRIMARY CARE LLC (NPI 1790378487) is a healthcare organization registered as a primary care in Chicopee, Massachusetts and active in the NPI registry since February 2021. The organization lists Jennifer L Jordan, Member, as its authorized official.

NPPES Registry Identity

NPI1790378487

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameRIVERS EDGE PRIMARY CARE LLC

Location Address821 E MAIN ST STE 3Chicopee, MA 01020-6306

Mailing Address821 E Main St Ste 3Chicopee, MA 01020-6306 · (413) 695-6774

Phone(413) 695-6774

Organization SubpartNo

Authorized OfficialJennifer L JordanMember · (413) 695-6774

Enumeration DateFebruary 15, 2021

NPPES CertifiedFebruary 15, 2021

✔ NPI 1790378487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X

821 E MAIN ST STE 3, Chicopee, MA 01020

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Rivers Edge Primary Care LLC's NPI number?

The NPI number for Rivers Edge Primary Care LLC is 1790378487. It was assigned to this organization in the NPPES registry on February 15, 2021.

Where is Rivers Edge Primary Care LLC located?

Rivers Edge Primary Care LLC is located at 821 E Main St Ste 3, Chicopee, MA 01020. The listed phone number is (413) 695-6774.

What is Rivers Edge Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Rivers Edge Primary Care LLC was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.