Mr. Samuel Rivera Ortiz
Nurse Practitioner - Critical Care Medicine
4000 Cambridge St
Kansas City
, Kansas 66160-8501
Mr. Samuel Rivera Ortiz
Nurse Practitioner - Critical Care Medicine
4000 Cambridge St
Kansas City
, Kansas 66160-8501
(816) 606-5868
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Mr. Samuel Rivera Ortiz
- 10525 Cleveland Ave
- Kansas City, MO
- Zip : 64137-1621
- Phone : (816) 606-5868
Second Address
- Mr. Samuel Rivera Ortiz
- 4000 Cambridge St
- Kansas City, KS
- Zip : 66160-8501
- Phone : (913) 588-1227
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 78432 | KS |
National Provider Identifier
| NPI | 1629536974 |
|---|---|
| Provider Name | Mr. Samuel Rivera Ortiz |
| First Address | Kansas City, MO 64137-1621 |
| Second Address | Kansas City, KS 66160-8501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/03/2019 |
| Last Update Date | 06/03/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.