Mary J Riley, BSN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN059857 Issued in AZ

Practice address

515 Shoshone Cir
Elko, NV 89801-5072

Phone

(775) 738-2252

Fax

(775) 778-0521

NPI assigned

Oct 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Bachelor on Science - Nursing, Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194807826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SHOSHONE CIR",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898015072",
            "telephone_number": "775-738-2252",
            "fax_number": "775-778-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SHOSHONE CIR",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898015072",
            "telephone_number": "775-738-2252",
            "fax_number": "775-778-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AZ",
            "license": "RN059857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mayra Celeste Rivas
• Selena N / a Rivera-Obrien
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• Conrad E. Roberson, D.O.
• Robert G Berry Jr Elko Chartered LLC (Elko Spine and Rehabilitation)

• Community Health Registered Nurse in Elko, NV
• Providers in Elko, NV by specialty
• Community Health Registered Nurse in Nevada

• 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.

Verify at the official NPI Registry.