Active NPI
Ayanna Riley
- Psychiatric/Mental Health Nurse Practitioner
- Waldorf, MD
National Provider Identifier
1053910588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2025035530
- Practice address
- 11610 Lewisham PL Apt 305
Waldorf, MD 20602-5143 - Phone
- (201) 667-8892
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2025035530 | MD | Primary |
Addresses
Primary practice location
11610 Lewisham PL Apt 305
Waldorf, MD 20602-5143
Mailing address
11610 Lewisham PL Apt 305
Waldorf, MD 20602-5143
Phone (201) 667-8892
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025035530 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1053910588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11610 LEWISHAM PL APT 305",
"city": "WALDORF",
"state": "MD",
"postal_code": "206025143",
"telephone_number": "201-667-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11610 LEWISHAM PL APT 305",
"city": "WALDORF",
"state": "MD",
"postal_code": "206025143",
"telephone_number": "201-667-8892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "AYANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "2025035530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.