DR. TRACY A. RILEY (NPI# 1083087852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083087852 |
Entity Type | Individual |
Full Name | DR. TRACY A. RILEY |
Credential | PHD, RN, CNS, CNE |
Practice Address |
2270 Mohler Dr Nw North Canton OH 44720-5736 |
Practice Telephone | 3309043506 |
Mailing Telephone | 3309043506 |
Enumeration Date | 2015-11-03 |
Last Update Date | 2015-11-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
02762-NS | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | PRIVATE INSURANCE | 02762-NS | 01 |
OH | PRIVATE INSURANCE | NLN 481258 | 01 |
OH | PRIVATE INSURANCE | RN-186297 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679762553 | Tracy M Riley | Social Worker | 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, FL 32256 | 2007-10-17 |
1255885422 | Tracy Riley | Social Worker | 1040 N Towerline Rd, Saginaw, MI 48601-9466 | 2016-08-05 |
1962631986 | Tracy Lee Riley | Licensed Practical Nurse | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2009-07-12 |
1750583597 | Tracy Lynn Riley | Specialist | 11952 S Harlem Ave, Palos Heights, IL 60463-1167 | 2007-06-04 |
Street Address |
2270 MOHLER DR NW |
City | NORTH CANTON |
State | OH |
Zip Code | 44720-5736 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700351251 | Mark Allan Joki | Counselor | 1303 W. Maple St., Suite 103, North Canton, OH 44720 | 2018-10-11 |
1700305794 | Alexis Katherine Hundley | Specialist/Technologist | 1378 Devon Drive, North Canton, OH 44720 | 2017-09-12 |
1376060780 | Universal Impex Inc. | Day Training, Developmentally Disabled Services | 6868 Farmcrest Cir Nw., North Canton, OH 44720 | 2017-08-25 |
1083066203 | Wendy Barnett | Registered Nurse | 8722 Grimes Ave Nw, North Canton, OH 44720 | 2016-07-12 |
1336590389 | Amanda L Cockerell | Occupational Therapy Assistant | 330 E Maple St, North Canton, OH 44720 | 2016-06-30 |
1467808063 | Ryan Monti | Physical Therapist | 6285 Promler St Nw, North Canton, OH 44720 | 2016-05-12 |
1467816124 | Jami Lynn Fisher | Occupational Therapist | 6057 Strip Avenue Nw, North Canton, OH 44720 | 2016-04-08 |
1801255427 | Steven R Fricke | Psychologist | 239 Portage St. Ne, North Canton, OH 44720 | 2016-02-11 |
1396124814 | Burkins Ritchie & Assco LLC | Counselor | 1206 N. Main St, North Canton, OH 44720 | 2015-05-29 |
1073992590 | Max Dean Burkins | Counselor | 1206 N. Main St., North Canton, OH 44720 | 2015-05-29 |
Find all providers in zip 44720 |
Taxonomy Code | 364SA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770693632 | Melissa S Grimm | Clinical Nurse Specialist | 6447 Frank Ave Nw, North Canton, OH 44720-8412 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184243941 | Christina Canfield | Clinical Nurse Specialist | 9500 Euclid Ave # J6, Cleveland, OH 44195-0001 | 2020-04-13 |
1073040929 | Stacy L Burns | Clinical Nurse Specialist | 250 S Osborn Ave, Youngstown, OH 44509-2909 | 2017-05-22 |
1134655350 | Bindhu Sajay | Clinical Nurse Specialist | 45431 Isaac Dr, Beavercreek, OH 45431-3051 | 2017-05-08 |
1750828406 | Keith B Evans | Clinical Nurse Specialist | 12 Lincoln Dr, Shelby, OH 44875-1482 | 2017-01-19 |
1760839070 | Deanna Petsas | Clinical Nurse Specialist | 35157 Poplar St, North Ridgeville, OH 44039-1549 | 2016-05-17 |
1639542574 | Althea Premraj | Clinical Nurse Specialist | 26 Keswick Dr, Hudson, OH 44236-3338 | 2015-10-31 |
1013392646 | Lydia Booher | Clinical Nurse Specialist | 2320 12th St Sw, Akron, OH 44314-2058 | 2015-07-24 |
1265813984 | Ronald Rock | Clinical Nurse Specialist | 9500 Euclid Ave # M2-105, Cleveland, OH 44195-0001 | 2015-06-18 |
1518387257 | Beth Canfield | Clinical Nurse Specialist | 6721 Idlelawn Ave Nw, Canal Fulton, OH 44614-9420 | 2014-04-21 |
1649605080 | Kathleen Flaherty | Clinical Nurse Specialist | 2600 Cleveland Ave Nw, Rh 201g, Canton, OH 44709-3308 | 2013-09-04 |
Find all providers with the same taxonomy |
City | NORTH CANTON |
Zip Code | 44720 |
Please comment or provide details below to improve the information on DR. TRACY A. RILEY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.