Individual ProviderSandra RiveraNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address617 S 8th St, Nashville, TN 37206-3819(615) 227-3000PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Rivera is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1083995617Provider TypeIndividualFull NameRivera, SandraCredentialNPGenderFemaleSole ProprietorNoEnumeration Date9/9/2011Last Updated7/29/2020Contact InformationPractice LocationPractice Address617 S 8th St, Nashville, TN 37206-3819Phone(615) 227-3000FaxUnlisted FaxMailing LocationMailing Address2711 Foster Ave, Nashville, TN 37210-5307Phone(615) 227-3000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense16113Tennessee