MS. MIKA LYNE RILEY (NPI# 1952879439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952879439 |
| Entity Type | Individual |
| Full Name | MS. MIKA LYNE RILEY |
| Credential | PMHNP |
| Practice Address |
42009 Victory Ln Leesburg VA 20176-6269 |
| Mailing Address |
1809 Birch Bay Ct Frederick MD 21702-5924 |
| Practice Telephone | 8007778855 |
| Mailing Telephone | 3015144373 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
024176819 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
42009 VICTORY LN |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-6269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679537807 | Jonathan Johnson | Counselor | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2006-04-14 |
| 1316553423 | Julia Corey | Counselor | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2020-09-23 |
| 1285269076 | Racheal Machaka | Counselor | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2020-03-12 |
| 1225670029 | Antoinette Wadsworth | Counselor | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2019-10-13 |
| 1326600198 | Taylor Ashlee Reeves | Counselor | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2019-07-02 |
| 1598274037 | Teresa M Matous | Psychologist | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2017-09-27 |
| 1922537224 | Ama Waffa Traore | Counselor | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2017-06-08 |
| 1689109258 | Kristin Kowalski | Social Worker | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2017-04-20 |
| 1659824142 | Angela Waugh | Counselor | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2016-08-01 |
| 1770987570 | Maria Jeffries | Nurse Practitioner | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2014-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144464470 | April Christina Haukoos | Nurse Practitioner | 1017 W Dixie Ave, Leesburg, FL 34748-6309 | 2009-04-30 |
| 1821258484 | Susan Maureen Archacki-resnik | Nurse Practitioner | Lifestream Behavioral Center, 2020 Tally Rd, Leesburg, FL 34749-1000 | 2008-06-16 |
| 1821163940 | Linda D Stalters | Nurse Practitioner | 43490 Millwright Ter, Leesburg, VA 20176-8466 | 2006-11-22 |
| 1275622375 | Paula K Reilley | Nurse Practitioner | 104 E Dixie Ave, Leesburg, FL 34748-6350 | 2006-10-12 |
| 1689191017 | Yoneka Tahisha Powell | Nurse Practitioner | 104 E Dixie Ave, Leesburg, FL 34748-6350 | 2017-08-25 |
| 1770987570 | Maria Jeffries | Nurse Practitioner | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2014-10-22 |
| 1679892616 | Kristie Johnson | Nurse Practitioner | 215 N 3rd St, Leesburg, FL 34748-5105 | 2010-05-28 |
| 1346261104 | Kathleen Jones-shupe | Nurse Practitioner | 101 S 11th St, Suite1, Leesburg, FL 34748-5767 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160875 | Tricia Daigle Northington | Nurse Practitioner | 20213 Eagle Cove Ct, South Chesterfield, VA 23803-1097 | 2020-10-08 |
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1699372060 | Shari Chism Medley | Nurse Practitioner | 1088 Bagwell Dr, Scottsburg, VA 24589-2709 | 2020-10-07 |
| 1225635683 | Kevina Boone | Nurse Practitioner | 5360 Discovery Park Blvd Ste 201, Williamsburg, VA 23188-2860 | 2020-10-07 |
| 1548876618 | Jamie Kim | Nurse Practitioner | 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709 | 2020-09-23 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1679185573 | Shaping Your Future Psychiatry | Nurse Practitioner | 1534 Bateau Lndg, Chesapeake, VA 23321-6603 | 2020-08-20 |
| 1235749714 | Germaine Kelley-pope | Nurse Practitioner | 622 Westover Hills Blvd, Richmond, VA 23225-4521 | 2020-08-09 |
| 1164031779 | Georgina Rose Chidaushe | Nurse Practitioner | 46760 Vermont Maple Ter, Sterling, VA 20164-2234 | 2020-07-29 |
| 1689292575 | Harpreet Kang | Nurse Practitioner | 2925 Calcutt Dr, Midlothian, VA 23113-2682 | 2020-07-08 |
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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.