Individual provider Active NPI

Sarah Ann Riley

  • Family Nurse Practitioner
  • Fort Sill, OK
National Provider Identifier
1295199859
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20076 Issued in SC
Practice address
2740 Ringgold Rd
Fort Sill, OK 73503-4449
Phone
(803) 602-4003
Fax
(580) 558-3200
NPI assigned
Apr 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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 20076 SC Primary

Addresses

Primary practice location

2740 Ringgold Rd
Fort Sill, OK 73503-4449

Mailing address

2740 Ringgold Rd
Fort Sill, OK 73503-4449
Phone (803) 602-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20160620000040 SC Practitioner - Nurse Practitioner 2062703267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince Apr 19, 2016 Accepting new patients

Locations

121 Clemson Rd
Columbia, SC 29229
Phone (803) 419-4002

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

Organizations & group practices 1

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1295199859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 RINGGOLD RD",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034449",
            "telephone_number": "803-602-4003",
            "fax_number": "580-558-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 RINGGOLD RD",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034449",
            "telephone_number": "803-602-4003",
            "fax_number": "580-558-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sill, OK

Sources for this page

Verify at the official NPI Registry.