SHANNON RILEY (NPI# 1962820779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962820779 |
| Entity Type | Individual |
| Full Name | SHANNON RILEY |
| Credential | MD |
| Practice Address |
848 Adams Ave Memphis TN 38103-2816 |
| Mailing Address |
2040 W Charleston Blvd #402 Las Vegas NV 89102 |
| Practice Telephone | 9012876112 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2018-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 56154 | TN | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 56154 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2040 W Charleston Blvd #402, Las Vegas, NV 89102 | 7026712236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164906863 | Shannon Riley | Home Health | 7800 Vienna Ln, Port Richey, FL 34668-4349 | 2018-09-18 |
| 1508363508 | Shannon Riley | Physical Therapist | 517 S 4th St, Philadelphia, PA 19147-1569 | 2018-04-07 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1538480462 | Shannon C Riley | Registered Nurse | 3761 Massillon Rd, Uniontown, OH 44685-7730 | 2010-06-15 |
| 1932386117 | Shannon Kathleen Riley | Psychologist | 120 W Eastman St Ste 200, Arlington Heights, IL 60004-5949 | 2008-01-30 |
| 1508340738 | Shannon Riley | Counselor | 111 Lions Dr Ste 221, Barrington, IL 60010-3175 | 2018-09-24 |
| 1255843470 | Shannon Riley | Case Manager/Care Coordinator | 150 Cross St, Akron, OH 44311-1026 | 2017-10-27 |
| 1982872404 | Shannon Riley | Social Worker | 1526 Walden Ave, Suite 400, Cheektowaga, NY 14225-4965 | 2008-02-19 |
| Street Address |
848 ADAMS AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-2816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159126 | Barry G Gilmore | Emergency Medicine | 848 Adams Ave, Memphis, TN 38103-2816 | 2005-07-26 |
| 1942816350 | Emily Craven | Registered Nurse | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-09-21 |
| 1851905475 | Sherry Ivy | Clinical Nurse Specialist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-09-01 |
| 1841800398 | Sarah Phillips | Student in an Organized Health Care Education/Training Program | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-08-07 |
| 1922617240 | Megan Leigh Smith | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-07-23 |
| 1235753187 | Kelsey Aquadro Mace | Occupational Therapist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-06-05 |
| 1669094017 | Kelley Little | Physical Therapist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-05-08 |
| 1669093571 | Amy Claire Petro | Speech-Language Pathologist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-05-01 |
| 1285255299 | Heather Leann Clabo | Occupational Therapist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-04-30 |
| 1922629146 | Julie Cleary Dillon | Speech-Language Pathologist | 848 Adams Ave, Memphis, TN 38103-2816 | 2020-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285015453 | Taylor Aglio | Pediatrics | 49 N Dunlap St # 131, Memphis, TN 38103-2802 | 2015-06-14 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1366844490 | Gerard Joseph Billmeier Jr. | Pediatrics | 6465 Massey Lane, Memphis, TN 38120-3307 | 2014-09-19 |
| 1316348089 | James Levernier | Pediatrics | 4781 Park Ave, Memphis, TN 38117-5623 | 2014-09-11 |
| 1124454657 | Walter Thompson Hughes Jr. | Pediatrics | 854 River Park Dr, Memphis, TN 38103-0804 | 2013-09-16 |
| 1518301084 | Jennifer Lauren Miller | Pediatrics | 6401 Poplar Ave Ste 610, Memphis, TN 38119-4806 | 2013-04-26 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1477845451 | Emilee Adelyn Dobish | Pediatrics | 850 Poplar Ave, Building 2, Memphis, TN 38103 | 2011-05-09 |
| 1366748055 | Silpa Peravali | Pediatrics | Lebonheur Childrens Hospital, 848 Adams Avenue, Memphis, TN 38103 | 2011-01-28 |
| 1275854259 | Melissa Ruth Hines | Pediatrics | 262 Danny Thomas Pl # Ms 734, Division of Pediatric Critical Care, Memphis, TN 38105-3678 | 2010-06-14 |
| Find all providers in MEMPHIS | ||||
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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.