MARY RILEY NPI 1649722562

NPI Information

NPI: 1649722562
Provider Name: MARY RILEY
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
4348 ELECTRIC RD
ROANOKE, VA
ZIP 24018
Phone: (540) 769-0976
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Mary Riley is a pediatrics nurse practitioner in Roanoke, VA. Mary Riley NPI is 1649722562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4348 ELECTRIC RD
ROANOKE, VA
ZIP 24018-720
Phone: (540) 769-0976
Fax: (540) 857-5386

The NPI 1649722562 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2016 and was last updated on 11/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	R218970	MARYLAND	No
2	363LP0200X	Nurse Practitioner	Pediatrics	0024175894	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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