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

Lea Danielle Rivieccio, PA

Individual provider Physician Assistant · NPI 1063880185

Lea Danielle Rivieccio, PA is a Physician Assistant in Concord, North Carolina. Qualified in 2015, 11 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

920 Church St N Ste 255
Concord, NC 28025-2927
Phone: (704) 403-1331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 — (704) 355-0720
  • 2001 Vail Ave, Charlotte, NC 28207-1248 — (704) 304-6070
  • 10628 Park Rd, Charlotte, NC 28210-8407 — (704) 667-7070
  • 8800 N Tryon St, Charlotte, NC 28262-3300 — (704) 863-6241

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11475 (NC)

Record details

NPI number1063880185
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 5, 2015
Last updated in NPPESJuly 15, 2024
Certification dateNovember 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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