MS. LISA ANITA RILEY (NPI# 1114539723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114539723 |
| Entity Type | Individual |
| Full Name | MS. LISA ANITA RILEY |
| Practice Address |
3020 Bedrock Dr Villa Rica GA 30180-3422 |
| Practice Telephone | 4045500582 |
| Mailing Telephone | 4045500582 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
GA | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013429737 | Lisa Riley | Counselor | 25 Highland Meadows Cir Ste 4, Highland Heights, KY 41076-3717 | 2017-11-03 |
| 1922232453 | Lisa Rena Riley | Registered Nurse | 6434 S Snowmass Dr, Liberty Twp, OH 45011-9427 | 2009-05-12 |
| 1780804807 | Lisa M Riley | Occupational Therapist | 600 Health Park, Ste C, Grand Blanc, MI 48439-2558 | 2007-04-30 |
| 1174643191 | Lisa Stermer Riley | Speech-Language Pathologist | 1627 Indian Pipe Ct, Powhatan, VA 23139-7044 | 2007-03-31 |
| 1225199326 | Lisa Pagliaro Riley | Social Worker | 6058 S Chestnut St Ste 100, Platteville, WI 53818-8947 | 2006-12-12 |
| 1992316673 | Lisa M Riley | Behavior Technician | 4515 Spruill Ave, N Charleston, SC 29405-4764 | 2020-08-14 |
| 1871832857 | Lisa Suzanne Riley | Counselor | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2013-02-11 |
| 1801196902 | Lisa A Riley | Marriage & Family Therapist | 911 E Colorado Blvd Ste 200, Pasadena, CA 91106-1773 | 2010-10-24 |
| 1679899801 | Lisa Anne Riley | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, Dept of Medicine, 4th Fl, San Jose, CA 95128-2604 | 2010-04-13 |
| 1447496971 | Lisa Marie Riley | Nurse Anesthetist, Certified Registered | 300 Circle Front Dr, Evansville, IN 47715-7196 | 2009-01-06 |
| Street Address |
3020 BEDROCK DR |
| City | VILLA RICA |
| State | GA |
| Zip Code | 30180-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174161624 | Crucible Communication Therapy LLC | Speech-Language Pathologist | 9765 Walnut Grove Trail, Villa Rica, GA 30180 | 2019-12-16 |
| 1366802845 | Medic-pearl, LLC | Ambulance | 1108 Charter Oak Ct, Villa Rica, GA 30180 | 2016-02-26 |
| 1396138368 | Josette Etienne | Nurse Practitioner | 403 Permian Way Suite A, Villa Rica, GA 30180 | 2015-03-13 |
| 1447690516 | Judith L.m. Thigpen | Nurse Practitioner | 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 | 2013-07-03 |
| 1477890168 | Wesley Douglas Mckenzie | Pharmacist | 2500 Mirror Lake Blvd, Villa Rica, GA 30180 | 2013-01-15 |
| 1497005359 | Malika Remie Rajendra | Optometrist | 600 Hwy 61, Villa Rica, GA 30180 | 2012-09-18 |
| 1972876449 | Catherine Elaine Tyson | Pharmacist | 601 Dallas Road, Villa Rica, GA 30180 | 2012-02-14 |
| 1619262433 | Villa Rica Rx LLC | Pharmacy | 222 West Wilson Street, Villa Rica, GA 30180 | 2011-06-09 |
| 1851602874 | Jules Chopin Sybert | Nurse Practitioner | 736 W. Bankhead Hwy, Villa Rica, GA 30180 | 2010-06-24 |
| 1487984019 | Lisa Wood | Occupational Therapy Assistant | 1207 Woods Walk, Villa Rica, GA 30180 | 2010-01-04 |
| Find all providers in zip 30180 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779481 | Karen Maria Jefferson | Technician | 1350 Ridenour Blvd Nw Apt 1303, Kennesaw, GA 30152-4588 | 2020-10-30 |
| 1114525193 | Bivens Nursing Services | Technician | 1123 Brown Ave, Columbus, GA 31906-2404 | 2020-10-13 |
| 1770194458 | Michelle Perdue | Technician | 611 Trove Dr Nw, Rome, GA 30165-1065 | 2020-08-14 |
| 1972129914 | My Healing Angels LLC | Technician | 15 Mary Jane Ln, Covington, GA 30016-2325 | 2020-06-24 |
| 1053934802 | Simplicitys Personal Care Home LLC | Technician | 6741 Church St Ste 2, Riverdale, GA 30274-2249 | 2020-05-27 |
| 1811519622 | Torina L Collins | Technician | 103 Lavender St, Fort Valley, GA 31030-2625 | 2020-05-14 |
| 1225650658 | Melinda Frank | Technician | 2409 Mallard Ln # B, Hephzibah, GA 30815-5831 | 2020-05-07 |
| 1083248066 | Comfort Care Solutions Inc. | Technician | 2760 Broxton Mill Ct, Snellville, GA 30039-4437 | 2020-02-27 |
| 1942843792 | Ladonna Griffin | Technician | 813 Oakland Ave Sw, Rome, GA 30165-4125 | 2019-10-24 |
| 1366084154 | Brandy Gatlin | Technician | 5597 Emerald Gln, Stone Mountain, GA 30088-3468 | 2019-10-13 |
| Find all providers with the same taxonomy | ||||
| City | VILLA RICA |
| Zip Code | 30180 |
Please comment or provide details below to improve the information on MS. LISA ANITA 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.