NICOLE RILEY (NPI# 1184877979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184877979 |
| Entity Type | Individual |
| Full Name | NICOLE RILEY |
| Credential | CADC II, BSW, MSW |
| Practice Address |
211 New Morning Ct Placerville CA 95667-5446 |
| Mailing Address |
6765 Green Valley Rd Placerville CA 95667-8984 |
| Practice Telephone | 5306264190 |
| Practice Fax Number | 5306222589 |
| Mailing Telephone | 5306225551 |
| Mailing Fax Number | 5306225800 |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2018-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 174400000X | Specialist | 03-089877 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CAARR | 03-089877 | 01 |
| CA | CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS | A013530315 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6765 Green Valley Rd, Placerville, CA 956678984 | 5306225551 | 5306225800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774443 | Nicole Riley | Massage Therapist | 1522 Cover Dr, Dallas, TX 75241-3768 | 2019-01-17 |
| 1619301918 | Nicole Lytona Riley | Licensed Practical Nurse | 191 Sparling Dr, Rochester, NY 14616-3105 | 2013-08-22 |
| 1306165980 | Nicole O Riley | Occupational Therapist | 15 Willow Oak Rd W, Hilton Head, SC 29928-4408 | 2010-05-22 |
| 1720056518 | Nicole E Riley | Nurse Practitioner | 14223 Arbre Ln N, Hugo, MN 55038-4449 | 2006-03-09 |
| 1902457492 | Nicole Riley | Counselor | 851 Commerce Blvd, Dickson City, PA 18519-1759 | 2019-09-25 |
| 1881255222 | Nicole Riley | Counselor | 5410 N 44th St, Tacoma, WA 98407-3799 | 2019-06-26 |
| 1326567876 | Nicole Therese Riley | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2017-09-15 |
| 1104349265 | Nicole Joy Riley | Licensed Practical Nurse | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-07-20 |
| 1548700875 | Nicole Riley | Physical Therapist | 750 Coronado Center Dr Ste 140, Henderson, NV 89052-5035 | 2017-03-06 |
| 1699127910 | Nicole Elizabeth Riley | Physician Assistant | 11835 9w, West Coxsackie, NY 12192-3605 | 2016-07-11 |
| Street Address |
211 NEW MORNING CT |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-5446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386208833 | Gail Elizabeth Healy | Counselor | 438 Main St Ste C, Placerville, CA 95667-5648 | 2019-04-30 |
| 1881186542 | Theresa Del Biaggio | Counselor | 2864 Ray Lawyer Dr Ste 209, Placerville, CA 95667-3937 | 2018-05-30 |
| 1750770954 | Ilona Alexandra Munzer | Counselor | 6765 Green Valley Rd # D, Placerville, CA 95667-8984 | 2015-01-12 |
| 1427446947 | Alexandra Ivanovsky | Counselor | 1166 Broadway, Ste N, Placerville, CA 95667-5729 | 2015-01-06 |
| 1013271196 | John Robert Broussard | Counselor | 2711 Edgewood Dr, Placerville, CA 95667-3409 | 2012-07-03 |
| 1528364114 | Crystal Cochran | Counselor | 4300 Forni Rd, Placerville, CA 95667-7013 | 2011-01-31 |
| 1649598160 | Amy Lykes | Counselor | 670 Placerville Drive, Suite 2, Placerville, CA 95667 | 2010-05-07 |
| 1003050543 | Meghan Jones | Counselor | 935b Spring Street, Placerville, CA 95667 | 2009-04-28 |
| 1871755108 | Maureen Adele Focht | Counselor | 2808 Mallard Ln # C, Placerville, CA 95667-8770 | 2008-06-27 |
| 1912185646 | Julia B Vanderschaaf | Counselor | 550 Main St Ste B1b, Placerville, CA 95667-5634 | 2008-02-05 |
| Find all providers in PLACERVILLE | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
Please comment or provide details below to improve the information on NICOLE 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.