STACIA A. RIVERS MD – NPI #1467569632
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

STACIA RIVERS is a physician located in MAPLEWOOD, MN. NPPES has assigned the NPI number 1467569632 to STACIA RIVERS on August 24, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 8 years ago on Aug 22, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STACIA RIVERS below.

NPI Profile for
STACIA A. RIVERS

NPI Number
1467569632
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STACIA A. RIVERS
Credentials
MD
Primary location
2165 WHITE BEAR AVE - MAIL STOP 31600A
HEALTHPARTNERS MAPLEWOOD CLINIC
MAPLEWOOD, MN 55109
Phone: (651) 523-9800 Fax: (651) 523-9801
Mailing address
8170 33RD AVE S
MS21110Q
MINNEAPOLIS, MN 55425-4516
Phone: (651) 523-9800 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for STACIA RIVERS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIA0450916
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MN 46839

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.