Active NPI
Carol Jonnette Riley, LMT
- Specialist
- Mount Vernon, OH
National Provider Identifier
1205269156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 009769
- Practice address
- 444 Columbus Rd
Suite F
Mount Vernon, OH 43050-4461 - Phone
- (740) 397-0330
- Fax
- (740) 397-0060
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 009769 | OH | Primary |
Addresses
Primary practice location
444 Columbus Rd
Suite F
Mount Vernon, OH 43050-4461
Mailing address
205 Wooster Rd
Mount Vernon, OH 43050-1733
Phone (740) 397-9040
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 |
|---|---|---|---|
| 009769 | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1205269156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 WOOSTER RD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430501733",
"telephone_number": "740-397-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 COLUMBUS RD",
"address_2": "SUITE F",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430504461",
"telephone_number": "740-397-0330",
"fax_number": "740-397-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "CAROL",
"middle_name": "JONNETTE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "009769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.