Active NPI
Melissa Woods Riley, D.V.M.
- Other Technician
- Salt Lake City, UT
National Provider Identifier
1285189167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 9539526-2801
- Practice address
- 389 W 1830 S
Salt Lake City, UT 84115-5890 - Phone
- (801) 463-6488
- Fax
- (801) 463-6610
- NPI assigned
- Aug 19, 2016
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 9539526-2801 | UT | Primary |
Addresses
Primary practice location
389 W 1830 S
Salt Lake City, UT 84115-5890
Mailing address
389 W 1830 S
Salt Lake City, UT 84115-5890
Phone (801) 463-6488
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 |
|---|---|---|---|
| 9539526-2801 | UT | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1285189167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 W 1830 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841155890",
"telephone_number": "801-463-6488",
"fax_number": "801-463-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 W 1830 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841155890",
"telephone_number": "801-463-6488",
"fax_number": "801-463-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "MELISSA",
"middle_name": "WOODS",
"name_prefix": "Dr.",
"credential": "D.V.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-19",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "UT",
"license": "9539526-2801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.