Active NPI
Mary Riley
- Registered Nurse
- Lapwai, ID
National Provider Identifier
1083624233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- N20110
- Practice address
- 111 Bever Grade
Lapwai, ID 83540 - Phone
- (208) 843-2271
- Fax
- (208) 843-2658
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | N20110 | ID | Primary |
Addresses
Primary practice location
111 Bever Grade
Lapwai, ID 83540
Mailing address
PO Box 367
Lapwai, ID 83540-0367
Phone (208) 843-2271
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 |
|---|---|---|---|
| N20110 | ID | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083624233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 367",
"city": "LAPWAI",
"state": "ID",
"postal_code": "835400367",
"telephone_number": "208-843-2271",
"fax_number": "208-843-2658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BEVER GRADE",
"city": "LAPWAI",
"state": "ID",
"postal_code": "83540",
"telephone_number": "208-843-2271",
"fax_number": "208-843-2658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "N20110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lapwai, ID
- Nez Perce Tribal Health Authority ((DBA) Nimiipuu Health)
- Nez Perce Tribal Health Board ((dba) Nimiipuu Health)
- Nez Perce Tribal Health Board ((DBA) Nimiipuu Health)
- James Joseph Palerino, DMD
- Katherine Ann Raymond
- Miles Floyd Robinson, FNP
- Jessica Rae Salas-Pratt, RDH
- Byron Paul Sansom, D.D.S.
- Sally Ann Scheeval, LPN
- Edward D. Smith, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.