Active NPI
Alexis L Riley, AUD
- Audiologist
- Vero Beach, FL
National Provider Identifier
1275753709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AZ516
- Practice address
- 1325 36TH St
Suite a
Vero Beach, FL 32960-6599 - Phone
- (772) 563-0015
- Fax
- (772) 770-0799
- NPI assigned
- Apr 26, 2007
- Last updated
- Jun 30, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AZ516 | FL | Primary |
Addresses
Primary practice location
1325 36TH St
Suite a
Vero Beach, FL 32960-6599
Mailing address
1325 36TH St
Suite a
Vero Beach, FL 32960-6599
Phone (772) 563-0015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600546200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ516 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trilogy Hearing & Audiology | Current | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients | |
| Audiology Distribution, LLC | Past | Accepting new patients |
Locations
2750 Indian River Blvd
Vero Beach, FL 32960
Phone (561) 569-9500
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- Vero Beach, FL
- NPI 1649119686
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1275753709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 36TH ST",
"address_2": "SUITE A",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606599",
"telephone_number": "772-563-0015",
"fax_number": "772-770-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 36TH ST",
"address_2": "SUITE A",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606599",
"telephone_number": "772-563-0015",
"fax_number": "772-770-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "ALEXIS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AZ516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600546200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.