KELLY ANN RILEY (NPI# 1164068250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164068250 |
| Entity Type | Individual |
| Full Name | KELLY ANN RILEY |
| Credential | NP |
| Practice Address |
120 Kings Way Ste 3100 Williamsburg VA 23185-2506 |
| Mailing Address |
2302 Rosewood Ave Richmond VA 23220-5717 |
| Practice Telephone | 7573455724 |
| Mailing Telephone | 2033135871 |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2019-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024178186 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053647701 | Kelly Riley | Specialist | 1011 E Main Ave Ste 201, Puyallup, WA 98372-6777 | 2009-10-29 |
| 1104974534 | Kelly Ann Riley | Physical Therapist | 5725 Oleander Dr Ste A4, Wilmington, NC 28403-4749 | 2007-01-08 |
| 1548280365 | Kelly Monique Riley | Optometrist | 114 S 5th St, Brownfield, TX 79316 | 2006-07-21 |
| 1780178046 | Kelly Riley | Social Worker | 1219 Jefferson Ave, Toledo, OH 43604-5836 | 2018-06-20 |
| 1336496264 | Kelly Jo Riley | Dentist | 7725 Ne Highway 99, Vancouver, WA 98665-8834 | 2012-08-09 |
| 1437361656 | Kelly Ann Riley | Counselor | 710 E Grand River Ave, Ste 1, Brighton, MI 48116-1820 | 2007-05-03 |
| 1609942051 | Kelly Ann Riley | Counselor | 4420 Hotel Circle Ct, Suite 235, San Diego, CA 92108-3411 | 2006-11-28 |
| Street Address |
120 KINGS WAY STE 3100 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23185-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579412 | Marian Shearin | Technician | 112 Indian Circle, Williamsburg, VA 23185 | 2019-10-09 |
| 1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
| 1265939482 | Michelle Antionette Hill | Counselor | 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 | 2018-04-13 |
| 1114437480 | Kimberly Anne Allan | Orthotic Fitter | 1811 Jamestown Rd., Williamsburg, VA 23185 | 2017-10-02 |
| 1881115590 | Shawn Patrick Mcnulty | Counselor | Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 | 2017-07-03 |
| 1790215986 | Sea Change Therapy Pllc | Community/Behavioral Health | 3308 Ash Vw, Williamsburg, VA 23185 | 2017-06-19 |
| 1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
| 1386196970 | Joshua Desilva | Psychologist | 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 | 2016-10-29 |
| 1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
| 1194173922 | Michael C. Shuck, Dds PC | Dentist | 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 | 2016-06-02 |
| Find all providers in zip 23185 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1689286346 | Jamie Butt | Nurse Practitioner | 4175 Ironbound Rd, Williamsburg, VA 23188-2944 | 2020-08-23 |
| 1477187557 | Yvette Dawn Grijalva | Nurse Practitioner | 811 Schooner Blvd, Williamsburg, VA 23185-5297 | 2020-02-27 |
| 1083261937 | Lola A Meadors | Nurse Practitioner | 65 N Highway 25 W, Williamsburg, KY 40769-1540 | 2019-08-23 |
| 1396204319 | Shannon Leigh Dishman | Nurse Practitioner | 457 Mclaws Cir Ste 1, Williamsburg, VA 23185-5645 | 2019-03-19 |
| 1174930994 | Nancy Jallo | Nurse Practitioner | 604 Dam Lake Ct, Williamsburg, VA 23185-2796 | 2014-07-14 |
| 1669891966 | Jill L Bryant Aprn LLC | Nurse Practitioner | 406 N Highway 25 W, Williamsburg, KY 40769-1545 | 2014-04-15 |
| 1568614543 | Family Health Care Associates of Williamsburg | Nurse Practitioner | 965 South Hwy 25, Ste 52, Williamsburg, KY 40769 | 2008-10-21 |
| 1154301968 | Janet Gibson | Nurse Practitioner | 1600 Richmond Rd, Williamsburg, VA 23185-2724 | 2006-01-18 |
| 1952914731 | Latosha Christine Foster | Nurse Practitioner | 120 Kings Way Ste 3400, Williamsburg, VA 23185-2511 | 2020-08-31 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23185 |
Please comment or provide details below to improve the information on KELLY ANN 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.