ELIZABETH JANE RILEY (NPI# 1104392505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104392505 |
| Entity Type | Individual |
| Full Name | ELIZABETH JANE RILEY |
| Practice Address |
1602 Rock Prairie Rd College Station TX 77845-8306 |
| Mailing Address |
1505 E 31st St Bryan TX 77802-1421 |
| Practice Telephone | 9796964440 |
| Mailing Telephone | 9797772980 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
243062 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538615661 | Elizabeth Mary Riley | Counselor | 940 Belmont St Bldg 22, Brockton, MA 02301-5596 | 2016-08-29 |
| 1982035184 | Elizabeth Riley | Occupational Therapist | 45557 Leighwood Ct, Plymouth, MI 48170-3662 | 2013-12-12 |
| 1083989784 | Elizabeth Riley | Registered Nurse | 1225 Bay Ridge Ave, Ps 176, Brooklyn, NY 11219-6015 | 2012-03-13 |
| 1427228824 | Elizabeth L Riley | Counselor | 14 Harvest Way, Hiram, GA 30141-4716 | 2008-03-03 |
| 1306065628 | Elizabeth A Riley | Anesthesiology | 650 Distant Island Dr, Beaufort, SC 29907-1580 | 2007-04-25 |
| 1184613200 | Elizabeth Anne Riley | Social Worker | 3144 Gracefield Rd Apt T19, Riderwood Village, Garden View, Silver Spring, MD 20904-5895 | 2005-10-20 |
| 1730173378 | Elizabeth Jean Riley | Social Worker | 215 S Washington St, Suite 105, Shelby, NC 28150-4675 | 2005-09-09 |
| 1265907125 | Elizabeth Adams Riley | Physical Therapy Assistant | 1438 Highway 16 W Ste C, Griffin, GA 30223-2096 | 2018-10-08 |
| 1225526643 | Elizabeth Hope Riley | Case Manager/Care Coordinator | 154-b Tule Creek Road, Hayfork, CA 96041 | 2018-05-01 |
| 1760913263 | Elizabeth Bennett Riley | Registered Nurse | 1441 N Tracy Blvd, Tracy, CA 95376-3445 | 2017-03-26 |
| Street Address |
1602 ROCK PRAIRIE RD |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-8306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136938 | Randy Wallace Smith | Obstetrics & Gynecology | 1602 Rock Prairie Rd, #430, College Station, TX 77845-8306 | 2005-07-07 |
| 1871029322 | Katie Hepfer | Nurse Practitioner | 1602 Rock Prairie Rd, Suite 300, College Station, TX 77845-8306 | 2017-05-03 |
| 1508226234 | A.shanmugam M.d | Internal Medicine | 1602 Rock Prairie Rd, Suite 210, College Station, TX 77845-8306 | 2016-02-23 |
| 1851735849 | Caitlin Sears | Physician Assistant | 1602 Rock Prairie Rd, Suite 3400, College Station, TX 77845-8306 | 2013-04-22 |
| 1396084380 | Bcs Allergy & Asthma | Allergy & Immunology | 1602 Rock Prairie Rd, Ste 270, College Station, TX 77845-8306 | 2013-02-11 |
| 1770844664 | Bryan College Station Prosthetics Inc | Prosthetic/Orthotic Supplier | 1602 Rock Prairie Rd, Suite 150, College Station, TX 77845-8306 | 2012-06-06 |
| 1407163660 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #230, College Station, TX 77845-8308 | 2010-09-09 |
| 1043527476 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #1100, College Station, TX 77845-8306 | 2010-09-07 |
| 1598090599 | Iyabode Ogunlade, Md Pa | Specialist | 1602 Rock Prairie Rd, Ste 3000, College Station, TX 77845-8306 | 2009-10-08 |
| 1093948887 | University Pediatric Childrens Foundation | Pediatrics | 1602 Rock Prairie Rd, Suite 310, College Station, TX 77845-8306 | 2009-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447726898 | Shannon Harris | Nurse Practitioner | 1602 Rock Prairie Rd Ste 1100, College Station, TX 77845-0001 | 2018-10-23 |
| 1871029322 | Katie Hepfer | Nurse Practitioner | 1602 Rock Prairie Rd, Suite 300, College Station, TX 77845-8306 | 2017-05-03 |
| 1962754960 | Jennifer Lynn Harris | Nurse Practitioner | 800 Scott and White Dr, College Station, TX 77845-6440 | 2012-10-15 |
| 1063643922 | Kelley Kennedy Schulze | Nurse Practitioner | 1651 Rock Prairie Rd, #102, College Station, TX 77845-8652 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1275134355 | Trevor Hill | Nurse Practitioner | 19708 Northwest Fwy Ste 500, Jersey Village, TX 77065-5626 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1770182636 | Jenna Donlon | Nurse Practitioner | 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 | 2020-10-21 |
| 1356949697 | Elizabeth Danielle Harrington | Nurse Practitioner | 213 Woodbine Dr, Burleson, TX 76028-6175 | 2020-10-09 |
| 1780291229 | Alexandra Messer | Nurse Practitioner | 6435 S Farm To Market, #201, Heath, TX 75032 | 2020-09-29 |
| 1679189567 | Jessica Dawn Crow | Nurse Practitioner | 801 Nuthatch Ct, Northlake, TX 76226-2863 | 2020-09-16 |
| 1457965436 | Jeanan Alameddine | Nurse Practitioner | 823 Catalpa Pl, Missouri City, TX 77459-5709 | 2020-09-07 |
| 1073127080 | Thelma Ivy Reyesmcchesney | Nurse Practitioner | 163 Village East Dr, Los Fresnos, TX 78566-3104 | 2020-09-07 |
| 1760095251 | Chelsey Jensen Bailey | Nurse Practitioner | 433 Sagebrush Dr, Aledo, TX 76008-1340 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
Please comment or provide details below to improve the information on ELIZABETH JANE 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.