Individual provider Active NPI

Kevin Riney, APRN

  • Family Nurse Practitioner
  • Greenville, TX
National Provider Identifier
1073905709
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127622 Issued in TX
Practice address
4215 Joe Ramsey E Blvd
Greenville, TX 75401-7852
Phone
(214) 345-7456
Fax
(214) 345-4152
NPI assigned
Mar 4, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP127622 TX Primary
Family Nurse Practitioner 363LF0000X 111115 OK

Addresses

Primary practice location

4215 Joe Ramsey E Blvd
Greenville, TX 75401-7852

Mailing address

PO Box 733119
Dallas, TX 75373-3119
Phone (903) 375-3742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151114000157 TX Practitioner - Nurse Practitioner 4688984032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
111115OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riney Healthcare Services, PLLC Current Accepting new patients
QV Urgent Care TX PLLC CurrentSince Apr 18, 2022 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Apr 18, 2022 Accepting new patients
Kyle E. Jones, M.D., P.a. Past Accepting new patients

Locations

2140 N State Highway 121
Bonham, TX 75418
Phone (430) 703-1550

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

Organizations & group practices 4

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1073905709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733119",
            "telephone_number": "903-375-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 JOE RAMSEY E BLVD",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017852",
            "telephone_number": "214-345-7456",
            "fax_number": "214-345-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINEY",
        "first_name": "KEVIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127622",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "111115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.