Rise Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

RISE CLINIC

Practice address

161 Alpine Dr
Shelbyville, KY 40065-8878

Phone

(502) 317-6211

NPI assigned

May 19, 2025

Organization subpart

No

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

Authorized official

Name

Angela D Chisholm, DNP CNMNPI 1457581837

Title

Owner

Phone

(502) 317-6211

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Dean Chisholm, CNM

  • Advanced Practice Midwife
  • Shelbyville, KY
  • NPI 1457581837
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1104618073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 1ST ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651051",
            "telephone_number": "541-602-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 ALPINE DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658878",
            "telephone_number": "502-317-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-317-6211",
        "authorized_official_credential": "DNP CNM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457581837",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Louise Rhoads, ARNP
• Eric Leonard Ribenboim, D.C.
• Lana E Ridge
• Jerica Lynn Riley, APRN, FNP-C
• Rise and Thrive Counseling
• Megan Robbins
• Edmund Maurice Roberson, LPCC
• Matthew Allen Roberts, RPH
• Nanette Rodriguez
• Rodz Therapy, Inc.

• Health Service Clinic/Center in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Health Service Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.