Individual
SALLIE JO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, MSN, CIC
Contact information
Practice address
325 GEORGIA AVE STE 200, NORTH AUGUSTA, SC 29841-3848
(803) 442-5750
(803) 442-5751
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 724-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN267435
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400129560
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
11/20/2013
Last updated
02/05/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us