Individual provider Active NPI

Zekiela Riley, RN

  • Registered Nurse
  • Lake Dallas, TX
National Provider Identifier
1033086251
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
973517 Issued in TX
Practice address
209 S Shady Shores Dr Ste 300-2004
Lake Dallas, TX 75065-2973
Phone
(940) 300-4858
NPI assigned
Oct 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Registered Nurse 163WN1003X 973517 TX
Registered Nurse 163W00000X 973517 TX Primary

Addresses

Primary practice location

209 S Shady Shores Dr Ste 300-2004
Lake Dallas, TX 75065-2973

Mailing address

209 S Shady Shores Dr Ste 300-2004
Lake Dallas, TX 75065-2973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
973517TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Connect LLC Registered Nurse CurrentSince Nov 7, 2025 Accepting new patients

Locations

209 S Shady Shores Dr
Ste 3002004
Lake Dallas, TX 75065
Phone (940) 300-4858

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1033086251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S SHADY SHORES DR STE 300-2004",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750652973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S SHADY SHORES DR STE 300-2004",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750652973",
            "telephone_number": "940-300-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "ZEKIELA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "TX",
            "license": "973517",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "973517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.