Mercedes Chanel Riley, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

9321297 Issued in FL

Practice address

1041 W Chase St
Lakeland, FL 33815-1353

Phone

(863) 510-1685

NPI assigned

Apr 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Sunshine Health & Diagnostics LLC

  • General Practice Registered Nurse
  • Lakeland, FL
  • NPI 1831778513
  NPD Authorized official

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1104405877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 W CHASE ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338151353",
            "telephone_number": "863-510-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 W CHASE ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338151353",
            "telephone_number": "863-510-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "MERCEDES",
        "middle_name": "CHANEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "9321297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Rigby, DO
• Amanda Rigdon, MD
• Right Path Behavioral Health Services LLC
• Robert Charles Rihn, CMHP
• Sarbesh Rijal, MD
• Samantha Amanda Riley
• Kalista Samantha Rinaldo, RBT
• Nicole A Ring, OTR/L
• Robert Louis Ringersen III, MD
• Donna Renee' Rininger, LMHC

• General Practice Registered Nurse in Lakeland, FL
• Providers in Lakeland, FL by specialty
• General Practice Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.