Provider Demographics
NPI:1033719661
Name:RIVERA, JIME LYNNE (CNP)
Entity Type:Individual
Prefix:
First Name:JIME
Middle Name:LYNNE
Last Name:RIVERA
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:JIME
Other - Middle Name:LYNNE
Other - Last Name:SCHULTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:708 E 21ST STREET
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078
Mailing Address - Country:US
Mailing Address - Phone:580-583-3922
Mailing Address - Fax:
Practice Address - Street 1:708 E 21ST STREET
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078
Practice Address - Country:US
Practice Address - Phone:580-583-3922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-01
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP0026972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry