Active NPI
Chantrell Riley
- Registered Nurse
- Jacksonville, FL
National Provider Identifier
1215472659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9372974
- Practice address
- 7211 Rhode Island Dr E
Jacksonville, FL 32209-1112 - Phone
- (904) 414-0364
- NPI assigned
- Dec 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9372974 | FL | Primary |
| Case Management Registered Nurse | 163WC0400X | RN9372974 | FL | |
| Community Health Registered Nurse | 163WC1500X | RN9372974 | FL |
Addresses
Primary practice location
7211 Rhode Island Dr E
Jacksonville, FL 32209-1112
Mailing address
7211 Rhode Island Dr E
Jacksonville, FL 32209-1112
Phone (904) 414-0364
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 |
|---|---|---|---|
| RN9372974 | FL | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1215472659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7211 RHODE ISLAND DR E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322091112",
"telephone_number": "904-414-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7211 RHODE ISLAND DR E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322091112",
"telephone_number": "904-414-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "CHANTRELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-20",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9372974",
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "FL",
"license": "RN9372974",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "FL",
"license": "RN9372974",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.