Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Rivas

Individual provider Licensed Practical Nurse · NPI 1578856324

Nicole Rivas is a Licensed Practical Nurse in Medford, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

107 Villas Dr
Medford, NY 11763-2136 Not confirmed with CMS for 15 years — call before visiting
Phone: (631) 742-8305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 302709 (NY)

Record details

NPI number1578856324
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 25, 2011
Last updated in NPPESMay 25, 2011

Other providers in Medford