MARY RILEY (NPI# 1649722562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649722562 |
| Entity Type | Individual |
| Full Name | MARY RILEY |
| Practice Address |
1030 S Jefferson St Ste 201 Roanoke VA 24016-4418 |
| Practice Telephone | 5402244520 |
| Practice Fax Number | 5403421649 |
| Mailing Telephone | 5402244520 |
| Mailing Fax Number | 5403421649 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2018-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024175894 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R218970 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518184837 | Mary F Riley | Dentist | 4400 Post Oak Pkwy Suite#1190, Houston, TX 77027 | 2007-04-19 |
| 1609920453 | Mary Elizabeth Riley | Naturopath | 48 Front St N., Issaquah, WA 98027 | 2007-01-22 |
| 1285232728 | Mary Riley | Technician | 652 Main St, Barboursville, WV 25504-1439 | 2020-10-16 |
| 1326608704 | Mary Riley | Physician Assistant | 50 Leroy St, Potsdam, NY 13676-1786 | 2019-06-18 |
| 1275020869 | Mary Riley | Counselor | 1605 Murray St, Alexandria, LA 71301-6890 | 2018-04-18 |
| 1568848299 | Mary Riley | Nurse Practitioner | 1502 S Colorado St, Greenville, MS 38703-7219 | 2015-08-04 |
| 1417398488 | Mary E Riley | Case Manager/Care Coordinator | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2013-07-08 |
| 1043559149 | Mary Riley | Social Worker | 467 Creamery Way, Exton, PA 19341-2508 | 2013-02-08 |
| 1912287483 | Mary Alyce Riley | Nurse Practitioner | 3501 Forbes Ave, Pittsburgh, PA 15213-3317 | 2011-08-27 |
| 1487890430 | Mary K. Riley | Nurse Practitioner | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2008-12-22 |
| Street Address |
1030 S JEFFERSON ST STE 201 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528050044 | Kathryn W Kerkering | Pediatrics | 1030 S Jefferson St Ste 201, Roanoke, VA 24016-4418 | 2005-08-19 |
| 1144560830 | Sarah F Shepherd | Nurse Practitioner | 1030 S Jefferson St Ste 201, Roanoke, VA 24016-4418 | 2013-02-18 |
| 1215941869 | Alyson P Hartkopf | Pediatrics | 1030 S Jefferson St Ste 201, Roanoke, VA 24016 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861783946 | Ryleigh Rebecca Young Smith | Nurse Practitioner | 102 Highland Ave Se Ste 104, Roanoke, VA 24013-2255 | 2011-04-25 |
| 1992868657 | Pamela Ann Ruppel | Nurse Practitioner | 4800 Pleasant Hill Dr Ste 102, Roanoke, VA 24018-3406 | 2006-12-17 |
| 1285709956 | Carol A Huffman | Nurse Practitioner | 1201 3rd St Sw, Roanoke, VA 24016-4611 | 2006-11-21 |
| 1063433357 | Rebekah S Slocum | Nurse Practitioner | 1101 1st St Sw, Roanoke, VA 24016-4701 | 2006-07-21 |
| 1033751383 | Hannah B Smith | Nurse Practitioner | 1030 S Jefferson St Ste 106, Roanoke, VA 24016-4418 | 2019-10-08 |
| 1932665544 | Amy Marshall | Nurse Practitioner | 3 Riverside Cir, Roanoke, VA 24016 | 2019-02-19 |
| 1265921274 | Katherine Martin Shelor | Nurse Practitioner | 102 Highland Ave Se Ste 104, Roanoke, VA 24013-2255 | 2018-05-04 |
| 1093262164 | Whitney Wilkes | Nurse Practitioner | 102 Highland Ave Se Ste 404, Roanoke, VA 24013-2232 | 2016-09-07 |
| 1144560830 | Sarah F Shepherd | Nurse Practitioner | 1030 S Jefferson St Ste 201, Roanoke, VA 24016-4418 | 2013-02-18 |
| 1689921587 | Angela Faye Martin | Nurse Practitioner | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2012-08-09 |
| Find all providers in ROANOKE | ||||
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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.