Lela S Rivers, CRNP
Nurse Practitioner, Family in Montgomery, AL. Individual provider (NPI-1).
NPI number1174202063
StatusActive
Last updated in NPPESMay 7, 2024
Details
- NPI
- 1174202063
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lela S Rivers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2023
- Certification date
- May 7, 2024
- Last updated
- May 7, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-151705 | AL | Yes |
Practice location
2119 E South Blvd Ste 200Montgomery, AL 36116-2496
Phone 334-747-7070
Mailing address
301 Brown Springs RdMontgomery, AL 36117-7005
Phone 334-747-4159
Other practice locations
1725 Pine St
Montgomery, AL 36106-1117
Montgomery, AL 36106-1117
Phone 334-293-8700
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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