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MS. OLIVIA LEE RIVERA PA-C
NPI 1952723892
Physician Assistant in Grand Rapids, MI

Active since January 13, 2014
25 MICHIGAN ST NE STE 6100, GRAND RAPIDS, MI 49503(616) 267-7900 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2020, Aug 21, 2017 (2 updates tracked since 2017).

About Ms. Olivia Lee Rivera Pa-c NPPES

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

MS. OLIVIA LEE RIVERA PA-C (NPI 1952723892) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601006892) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1952723892
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. OLIVIA LEE RIVERACredential: PA-C
Location Address25 MICHIGAN ST NE STE 6100Grand Rapids, MI 49503-2561
Mailing Address1468 Fairwood Ct SeCaledonia, MI 49316-9738 · (616) 204-7475
Phone(616) 267-7900
Sole ProprietorNo
Enumeration DateJanuary 13, 2014
Last NPPES UpdateJune 29, 20202 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
✔ NPI 1952723892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601006892
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
25 MICHIGAN ST NE STE 6100, Grand Rapids, MI 49503
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Other Names 1

Former Name (1)Olivia Lee Johnson

Other Providers at the Same Location NPPES 8

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

MALGORZATA MARIA MILLER M.D.
Psychiatry & Neurology (Neurology)
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
MRS. HANNAH KATERI JOHNSON FNP
Nurse Practitioner (Family)
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
RAJEEV DEVESHWAR M.D.
Psychiatry & Neurology (Vascular Neurology)
25 MICHIGAN ST NE STE 6100, SPECTRUM HEALTH MEDICAL GROUP NEUROVASCULAR/STROKE OFFI
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
ANDRES FELIPE RESTREPO OROZCO MD
Neurological Surgery
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
JORDYN MARIE KIPPE PA
Physician Assistant
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
EMMANUEL JOHN BART-PLANGE IV PA
Physician Assistant
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
AUBREY MICHELE BRANNICK FNP-BC
Nurse Practitioner
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
RUTH IGOREVNA RAPEYKO PA-C
Physician Assistant
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900

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 Olivia Rivera's NPI number?

The NPI number for Olivia Rivera is 1952723892. It was assigned to this individual provider in the NPPES registry on January 13, 2014. The provider is also known as Olivia Lee Johnson.

Where is Olivia Rivera located?

Olivia Rivera practices at 25 Michigan St NE Ste 6100, Grand Rapids, MI 49503. The listed phone number is (616) 267-7900.

What is Olivia Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Olivia Rivera was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.