Individual provider Active NPI

Jillian Riley, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1215384169
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8696 Issued in AZ
Practice address
6320 N la Cholla Blvd Ste 340
Tucson, AZ 85741-3816
Phone
(520) 575-7159
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8696 AZ Primary

Addresses

Primary practice location

6320 N la Cholla Blvd Ste 340
Tucson, AZ 85741-3816

Mailing address

6320 N la Cholla Blvd Ste 340
Tucson, AZ 85741-3816
Phone (520) 575-7159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160719000642 AZ Practitioner - Nurse Practitioner 5597058248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP8696AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians, LLC CurrentSince Aug 1, 2016 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Aug 1, 2016 Accepting new patients

Locations

7490 S Camino de Oeste
Tucson, AZ 85746
Phone (520) 879-6039

6320 N La Cholla Blvd
Ste 340
Tucson, AZ 85741
Phone (520) 575-7159

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1215384169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 N LA CHOLLA BLVD STE 340",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413816",
            "telephone_number": "520-575-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 N LA CHOLLA BLVD STE 340",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413816",
            "telephone_number": "520-575-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JILLIAN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.