Individual provider Active NPI

H Kathleen Riley, RN

  • Registered Nurse
  • Rome, NY
National Provider Identifier
1083346902
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
682625 Issued in NY
Practice address
MVPC Rome Clinic
227 W Dominick St
Rome, NY 13440
Phone
(315) 336-6230
Fax
(315) 337-9262
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 682625 NY Primary

Addresses

Primary practice location

MVPC Rome Clinic
227 W Dominick St
Rome, NY 13440

Mailing address

6545 Dix Rd
Rome, NY 13440-8019
Phone (315) 725-6950

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address helen.riley@omh.ny.gov Direct

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
682625NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Cerebral Palsy, Inc PastSince Jul 3, 2022 Accepting new patients

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1083346902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 DIX RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134408019",
            "telephone_number": "315-725-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MVPC ROME CLINIC",
            "address_2": "227 W DOMINICK ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "13440",
            "telephone_number": "315-336-6230",
            "fax_number": "315-337-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "H",
        "middle_name": "KATHLEEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "682625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "helen.riley@omh.ny.gov",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "MVPC Rome Clinic",
            "address_2": "227 W Dominick St",
            "city": "Rome",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.