HEIDI SUE RILEY (NPI# 1083186324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083186324 |
| Entity Type | Individual |
| Full Name | HEIDI SUE RILEY |
| Other Name | HEIDI SUE HITTEPOLE |
| Credential | CNP |
| Practice Address |
1843 W Main St Troy OH 45373-2303 |
| Mailing Address |
3170 Kettering Blvd Bldg B3 Moraine OH 45439-1924 |
| Practice Telephone | 9372084120 |
| Practice Fax Number | 9372084126 |
| Mailing Telephone | 9379913188 |
| Mailing Fax Number | 9372239811 |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.023900 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3006 N County Road 25a Ste 102, Troy, OH 453731373 | 9378752745 | 9373359840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427117522 | Heidi Riley | Nurse Practitioner | 1411 W 15th St Ste 102, Liberal, KS 67901-2285 | 2006-12-06 |
| 1780671396 | Heidi Riley | Pharmacist | 490 N 2nd E, Mtn Home, ID 83647-2729 | 2005-09-29 |
| Street Address |
1843 W MAIN ST |
| City | TROY |
| State | OH |
| Zip Code | 45373-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1962040501 | Dominique Rochelle Purdin | Nurse Practitioner | 1843 W Main St, Troy, OH 45373-2303 | 2019-12-13 |
| 1174161905 | Kelli Hoke | Nurse Practitioner | 1843 W Main St, Troy, OH 45373-2303 | 2019-12-11 |
| 1770120487 | Maureen O'neil Manbeck | Nurse Practitioner | 1843 W Main St, Troy, OH 45373-2303 | 2019-12-02 |
| 1730732256 | Max Alexander Pulfer | Nurse Practitioner | 1843 W Main St, Troy, OH 45373-2303 | 2019-07-23 |
| 1598285751 | Regina Embrador | Physician Assistant | 1843 W Main St, Troy, OH 45373-2303 | 2017-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| 1386942910 | Pulmonary Associates LLC | Internal Medicine | 3006 N. Dixie Hwy., Suite 102, Troy, OH 45373 | 2011-03-07 |
| Find all providers in zip 45373 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998777 | Nila Ellison | Nurse Practitioner | 2810 Alisop Pl Apt 306, Troy, MI 48084-3470 | 2020-10-04 |
| 1689286262 | Kayla Dawn Metz | Nurse Practitioner | 101 Hunters Mountain Pkwy, Troy, AL 36079-5895 | 2020-08-17 |
| 1801421953 | Veronica Talevska | Nurse Practitioner | 1054 Henrietta Ave, Troy, MI 48083-1908 | 2020-03-10 |
| 1245878636 | Kim S Hussey | Nurse Practitioner | 989 Elba Hwy, Troy, AL 36079-6050 | 2019-12-16 |
| 1548804685 | Kelly N Lofton | Nurse Practitioner | 144 Prison Ln, Troy, VA 22974 | 2019-11-01 |
| 1740831528 | Monica Hallac | Nurse Practitioner | 3630 Old Creek Rd, Troy, MI 48084-1658 | 2019-09-24 |
| 1053961482 | Vian Murad | Nurse Practitioner | 752 Amberwood Dr, Troy, MI 48085-1676 | 2019-09-17 |
| 1245886100 | Sheila Kay Mitchell | Nurse Practitioner | 101 Hunter Mountain Parkway, Troy, AL 36081-3608 | 2019-08-15 |
| 1427510262 | Allison Michelle Harper | Nurse Practitioner | 3006 N County Road 25a Ste 102, Troy, OH 45373-1373 | 2019-04-02 |
| 1669940409 | Astasia C Goodenough | Nurse Practitioner | 5680 Wright Dr, Troy, MI 48098-2917 | 2018-11-09 |
| Find all providers in TROY | ||||
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| 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.